Individual provider · Type 1 NPI
Elise Mariam Sage, PNP
Pediatric Nurse Practitioner · East Hartford, CT
NPI number
1598048878
Active
Practice location
869 Forbes St
East Hartford, CT 06118-1958
Mailing address
80 Phoenix Ave 201
Waterbury, CT 06702-1418
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 2268080 (MA) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | 12.005079 (CT) |
| Registered Nurse | 163W00000X | 10.107616 (CT) |
| Pediatric Nurse Practitioner | 363LP0200X | 005079 (CT) |
Pediatric Nurse Practitioner: Definition to come...
2 other providers at this address
Other pediatric nurse practitioner providers in East Hartford
- Karen D. Hull, APRNPediatric Nurse Practitioner East Hartford, CT NPI 1205898608
- Amanda Beth Tini, APRNPediatric Nurse Practitioner East Hartford, CT NPI 1427177526
- Tracy L. Kunkel, APRNPediatric Nurse Practitioner East Hartford, CT NPI 1538460407
- Amma Darko, DNP, PNP-BCPediatric Nurse Practitioner East Hartford, CT NPI 1568710192
About NPI 1598048878
Elise Mariam Sage, PNP's National Provider Identifier is 1598048878, issued on Sep 23, 2011. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in East Hartford, CT. The record was last updated on Jul 30, 2015.