Healthcare Provider Details

I. General information

NPI: 1023800216
Provider Name (Legal Business Name): ANNA NICOLE SAUNDERS FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/21/2025
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 DIAMOND DR
KEY WEST FL
33040-5633
US

IV. Provider business mailing address

15 DIAMOND DR
KEY WEST FL
33040-5633
US

V. Phone/Fax

Practice location:
  • Phone: 786-642-8223
  • Fax:
Mailing address:
  • Phone: 786-642-8223
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number11048645
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number9648116
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: