Healthcare Provider Details

I. General information

NPI: 1447724711
Provider Name (Legal Business Name): TERRI ANN SAUNDERS APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/19/2019
Last Update Date: 02/10/2022
Certification Date: 02/10/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2140 N DON WICKHAM DR
CLERMONT FL
34711-1922
US

IV. Provider business mailing address

16125 WIND VIEW LN
WINTER GARDEN FL
34787-9229
US

V. Phone/Fax

Practice location:
  • Phone: 352-394-5922
  • Fax: 352-394-1103
Mailing address:
  • Phone: 321-368-6154
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN11000566
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11000566
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: