Individual provider · Type 1 NPI
Mary Gwendolyn Sagen, PNP-PC
Pediatric Nurse Practitioner · Austin, TX
NPI number
1710489067
Active
Practice location
13341 W US Highway 290 Bldg 2
Austin, TX 78737-9455
Mailing address
261 Cherry Sage Ct
Dripping Springs, TX 78620-2691
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 1227367 (TX) |
| Pediatric Nurse Practitioner | 363LP0200X | 23810 (TN) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1710489067
Mary Gwendolyn Sagen, PNP-PC's National Provider Identifier is 1710489067, issued on Mar 2, 2018. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Austin, TX. The record was last updated on Aug 14, 2026.