Healthcare Provider Details

I. General information

NPI: 1871040295
Provider Name (Legal Business Name): CHARLOTTE M SAUNDERS CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHARLOTTE M DANIELS CRNP

II. Dates (important events)

Enumeration Date: 09/01/2016
Last Update Date: 02/24/2025
Certification Date: 02/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

510 E BALTIMORE PIKE
MEDIA PA
19063-3836
US

IV. Provider business mailing address

501 S 54TH ST STE 26
PHILADELPHIA PA
19143-1900
US

V. Phone/Fax

Practice location:
  • Phone: 610-566-3218
  • Fax:
Mailing address:
  • Phone: 215-748-9200
  • Fax: 215-748-9307

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberL1-0046178
License Number StateDE
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberLG-0012543
License Number StateDE
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP016528
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: