Provider Demographics
NPI:1851964845
Name:SAWYER, EMMA CHRISTINE (FNP-C)
Entity type:Individual
Prefix:
First Name:EMMA
Middle Name:CHRISTINE
Last Name:SAWYER
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:EMMA
Other - Middle Name:CHRISTINE
Other - Last Name:KOERPER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:959 SEA GLASS WAY
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92154-1976
Mailing Address - Country:US
Mailing Address - Phone:913-963-8885
Mailing Address - Fax:
Practice Address - Street 1:959 SEA GLASS WAY
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92154-1976
Practice Address - Country:US
Practice Address - Phone:913-963-8885
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-19
Last Update Date:2024-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS5383661051363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily