Basic Information
| Provider Information | |||||||||
| NPI: | 1588716971 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BUENVIAJE | ||||||||
| FirstName: | SARAH | ||||||||
| MiddleName: | |||||||||
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| Credential: | M.S.N., O.N.P. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 400 TAYLOR BLVD | ||||||||
| Address2: | SUITE 202 | ||||||||
| City: | PLEASANT HILL | ||||||||
| State: | CA | ||||||||
| PostalCode: | 945232163 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9256775041 | ||||||||
| FaxNumber: | 9256775025 | ||||||||
| Practice Location | |||||||||
| Address1: | 400 TAYLOR BLVD | ||||||||
| Address2: | SUITE 202 | ||||||||
| City: | PLEASANT HILL | ||||||||
| State: | CA | ||||||||
| PostalCode: | 945232163 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9256775041 | ||||||||
| FaxNumber: | 9256775025 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/17/2007 | ||||||||
| LastUpdateDate: | 08/30/2013 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363L00000X | 483356 | CA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
No ID Information.