| Doctor Name: | ISRAEL SAUCEDO |
| NPI Number: | 1003222191 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | APRN, FNP-C |
| License Number: | RN170526 |
| Business Practice Address: | 417 W 3rd Ave Albany, GA - 317011943 |
| Business Phone Number: | 2293121000 |
| Business Fax Number: | |
| Mailing Address: | 130 Moore St, OMEGA |
| State: | GA |
| Postal Code: | 317753075 |
| Phone Number: | 2292429310 |
| Fax Number: | |
| NPI Enumeration Date: | 07/09/2014 |
| NPI Last Update Date: | 03/04/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2100X |
| License Number: | RN170526 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | GA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Acute Care |
| Taxonomy Definition: | |