MRS. SANDRA DAVIS CHAMPAGNE


Address: 4212 N 16th St, Pasadena, CA 91110-0698
Phone: 6022631511

MRS. SANDRA DAVIS CHAMPAGNE (NPI# 1811062987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1811062987
Entity Type Individual
Full Name MRS. SANDRA DAVIS CHAMPAGNE
Credential RN.
Practice Address 4212 N 16th St
Pasadena
CA 91110-0698
Mailing Address Po Box 31001-0698
Pasadena
CA 91110-0698
Practice Telephone 6022631511
Practice Fax Number 6022631619
Mailing Telephone 6022631511
Mailing Fax Number 6022631619
Enumeration Date 2006-11-22
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WC0400X Registered Nurse
Specialization: Case Management
RN058582 AZ Nursing Service Providers

Office Location

Street Address 4212 N 16TH ST
City PASADENA
State CA
Zip Code 91110-0698

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Taxonomy Information

Taxonomy Code 163WC0400X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Case Management

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932724689 Deborah Ruth Toga Registered Nurse 587 Prospect Blvd, Pasadena, CA 91103-3235 2020-06-09
1679518138 Roshann Rene Reese Registered Nurse 191 S San Gabriel Blvd, Pasadena, CA 91107-4839 2006-06-18
1811105133 Patricia Ann Jones Registered Nurse 1845 N Fair Oaks Ave, Pasadena, CA 91103-1620 2007-05-18

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Competitor

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City PASADENA
Zip Code 91110

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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