Provider Demographics
NPI:1710732672
Name:SAGUDAN, ANALIZA
Entity type:Individual
Prefix:
First Name:ANALIZA
Middle Name:
Last Name:SAGUDAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7830 BACKLICK RD # 200A
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:22150-2237
Mailing Address - Country:US
Mailing Address - Phone:703-981-0836
Mailing Address - Fax:571-415-5460
Practice Address - Street 1:7830 BACKLICK RD # 200A
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:VA
Practice Address - Zip Code:22150-2237
Practice Address - Country:US
Practice Address - Phone:703-981-0836
Practice Address - Fax:571-415-5460
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-23
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001223919163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse