Healthcare Provider Details

I. General information

NPI: 1023010816
Provider Name (Legal Business Name): NANCY LYNN SAUNDERS WHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2005
Last Update Date: 02/13/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3114 MERCER UNIVERSITY DR SUITE 100
ATLANTA GA
30341-4144
US

IV. Provider business mailing address

3101 ROCKAWAY RD
ATLANTA GA
30341-4511
US

V. Phone/Fax

Practice location:
  • Phone: 770-454-8080
  • Fax:
Mailing address:
  • Phone: 770-934-7965
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberRN102444
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: