Healthcare Provider Details

I. General information

NPI: 1689578361
Provider Name (Legal Business Name): TINA L SAUNDERS PHD, RN, CNE,GCNS-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 5190
KENT OH
44242-0001
US

IV. Provider business mailing address

1944 FOX CHASE
YOUNGSTOWN OH
44515-5605
US

V. Phone/Fax

Practice location:
  • Phone: 330-672-8773
  • Fax:
Mailing address:
  • Phone: 330-672-8773
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SG0600X
TaxonomyGerontology Clinical Nurse Specialist
License NumberAPRN.CNS.08217
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: