Healthcare Provider Details

I. General information

NPI: 1114086071
Provider Name (Legal Business Name): SAUNDRA CARTER R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/07/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

331 E 8TH ST
ANNISTON AL
36207-5731
US

IV. Provider business mailing address

316 HIDDEN OAKS DR
OXFORD AL
36203-3387
US

V. Phone/Fax

Practice location:
  • Phone: 256-236-3403
  • Fax: 256-238-6263
Mailing address:
  • Phone: 256-835-2773
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License Number1-063561
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: