Most Relevant Information
Provider Data
| NPI Number: | 1003533415 |
| Provider Name: | HENRIETTA SAGOE PMHNP-BC |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0808X |
| Specialty: | Nurse Practitioner |
| License Number: | R182948 |
Most Important Dates
| Enumeration Date: | 10/26/2022 |
| Last Updated: | 11/21/2023 |
Provider Practice Location
12800 MIDDLEBROOK RD STE 400
GERMANTOWN
MD
208745282
Practice Location Phone/Fax
| Phone: | 3015152901 |
| Fax: |
Provider Mailing Location
13017 WISTERIA DR STE 114
GERMANTOWN
MD
208742621
Provider Mailing Phone/Fax
| Phone: | 3018124540 |
| Fax: | 3012387850 |