Healthcare Provider Details

I. General information

NPI: 1821422742
Provider Name (Legal Business Name): SUSAN JUNE SAUNDERS APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/27/2013
Last Update Date: 03/15/2024
Certification Date: 03/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3600 OLENTANGY RIVER RD BUILDING A
COLUMBUS OH
43214-3437
US

IV. Provider business mailing address

PO BOX 7527
DUBLIN OH
43017-0727
US

V. Phone/Fax

Practice location:
  • Phone: 614-583-5552
  • Fax: 614-583-5559
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberAPRNCNP05324
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code163WW0101X
TaxonomyAmbulatory Women's Health Care Registered Nurse
License NumberRN-182612
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: