Healthcare Provider Details

I. General information

NPI: 1841268570
Provider Name (Legal Business Name): KRISTI M SAUNDERS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/09/2006
Last Update Date: 05/23/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 HANOVER CENTER RD
ETNA NH
03750-4113
US

IV. Provider business mailing address

500 HANOVER CENTER RD
ETNA NH
03750-4113
US

V. Phone/Fax

Practice location:
  • Phone: 603-643-3076
  • Fax: 603-448-2087
Mailing address:
  • Phone: 603-643-3076
  • Fax: 603-448-2087

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number13989
License Number StateNH
# 2
Primary TaxonomyY
Taxonomy Code207VH0002X
TaxonomyHospice and Palliative Medicine (Obstetrics & Gynecology) Physician
License Number13989
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: