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NPI Code Detail

MEDICARE: CHARLOTTE M SAUNDERS CRNP

MEDICARE: CHARLOTTE M SAUNDERS CRNP
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
1163W00000XRegistered NurseL1-0046178DE
2363L00000XNurse PractitionerLG-0012543DE
3363LF0000XFamily Nurse PractitionerSP016528PA

General Provider Information

NPI Number : 1871040295
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHARLOTTE M SAUNDERS CRNP
Provider Business Mailing Address
First Line : 501 S 54TH ST
Second Line : STE 26
City : PHILADELPHIA
State : PA
Zip : 19143-1900
Country : US
Telephone Number : 215-748-9200
Fax Number : 215-748-9307
Provider Business Practice Location Address
First Line : 510 E BALTIMORE PIKE
Second Line :
City : MEDIA
State : PA
Zip : 19063-3836
Country : US
Telephone Number : 610-566-3218
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/01/2016
Last Update Date : 02/24/2025

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