Healthcare Provider Details

I. General information

NPI: 1659841971
Provider Name (Legal Business Name): CHAYEH SAUNDERS NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/29/2018
Last Update Date: 11/29/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2411 W BELVEDERE AVE
BALTIMORE MD
21215-5228
US

IV. Provider business mailing address

2411 W BELVEDERE AVE
BALTIMORE MD
21215-5228
US

V. Phone/Fax

Practice location:
  • Phone: 410-601-5392
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR181260
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: