Most Relevant Information
Provider Data
| NPI Number: | 1003222191 |
| Provider Name: | ISRAEL SAUCEDO APRN, FNP-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363LA2100X |
| Specialty: | Nurse Practitioner |
| License Number: | RN170526 |
Most Important Dates
| Enumeration Date: | 07/09/2014 |
| Last Updated: | 06/29/2022 |
Provider Practice Location
417 W 3RD AVE
ALBANY
GA
317011943
Practice Location Phone/Fax
| Phone: | 2293121000 |
| Fax: |
Provider Mailing Location
130 MOORE ST
OMEGA
GA
317753075
Provider Mailing Phone/Fax
| Phone: | 2292429310 |
| Fax: |