MEDICARE: MS. NANCY LYNN SAUNDERS WHNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LW0102X	Women's Health Nurse Practitioner	RN102444	GA

General Provider Information

NPI Number	:	1023010816
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. NANCY LYNN SAUNDERS WHNP

Provider Business Mailing Address
First Line	:	3101 ROCKAWAY RD
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30341-4511
Country	:	US
Telephone Number	:	770-934-7965
Fax Number	:

Provider Business Practice Location Address
First Line	:	3114 MERCER UNIVERSITY DR
Second Line	:	SUITE 100
City	:	ATLANTA
State	:	GA
Zip	:	30341-4144
Country	:	US
Telephone Number	:	770-454-8080
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/11/2005
Last Update Date	:	02/13/2012

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