Provider Demographics
NPI:1053631952
Name:SANTACRUZ, NADINE PATRICIA SAUER (MD)
Entity type:Individual
Prefix:
First Name:NADINE
Middle Name:PATRICIA SAUER
Last Name:SANTACRUZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 WHITING HILL RD
Mailing Address - Street 2:SUITE 31
Mailing Address - City:BREWER
Mailing Address - State:ME
Mailing Address - Zip Code:04412-1021
Mailing Address - Country:US
Mailing Address - Phone:207-973-7572
Mailing Address - Fax:
Practice Address - Street 1:33 WHITING HILL RD
Practice Address - Street 2:SUITE 31
Practice Address - City:BREWER
Practice Address - State:ME
Practice Address - Zip Code:04412-1021
Practice Address - Country:US
Practice Address - Phone:207-973-7572
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-03
Last Update Date:2023-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH244592080P0207X
CAA108435208000000X
MA2494442080P0207X
MEMD201582080P0207X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0207XAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-Oncology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics