1780064899 NPI number — MRS. HANNA ERIN SAUER APRN

Table of content: MRS. HANNA ERIN SAUER APRN (NPI 1780064899)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1780064899 NPI number — MRS. HANNA ERIN SAUER APRN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SAUER
Provider First Name:
HANNA
Provider Middle Name:
ERIN
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
APRN
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
WALTER
Provider Other First Name:
HANNA
Provider Other Middle Name:
ERIN
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1780064899
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/08/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
780 KUENZLI ST
Provider Second Line Business Mailing Address:
SUITE 202
Provider Business Mailing Address City Name:
RENO
Provider Business Mailing Address State Name:
NV
Provider Business Mailing Address Postal Code:
89502-0845
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
775-982-4590
Provider Business Mailing Address Fax Number:
775-982-5496

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
10085 DOUBLE R BLVD
Provider Second Line Business Practice Location Address:
SUITE 120
Provider Business Practice Location Address City Name:
RENO
Provider Business Practice Location Address State Name:
NV
Provider Business Practice Location Address Postal Code:
89521-5860
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
775-982-5000
Provider Business Practice Location Address Fax Number:
775-982-8180
Provider Enumeration Date:
06/03/2015

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LF0000X , with the licence number:  APRN001971 , registered in the state of NV ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 13578021 . This is a "CAQH" identifier , issued by the state of ( NV ) . This identifiers is of the category "OTHER".
  • Identifier: APRN001971 . This is a "APRN LICENSURE" identifier , issued by the state of ( NV ) . This identifiers is of the category "OTHER".