Healthcare Provider Details

I. General information

NPI: 1083911606
Provider Name (Legal Business Name): MS. SAUNDRA HYMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/16/2011
Last Update Date: 07/14/2022
Certification Date: 02/02/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10000 ANNS CHOICE WAY
WARMINSTER PA
18974-3527
US

IV. Provider business mailing address

5730 EXECUTIVE DR STE 230
CATONSVILLE MD
21228-1762
US

V. Phone/Fax

Practice location:
  • Phone: 215-443-3850
  • Fax: 215-443-3963
Mailing address:
  • Phone: 410-402-2379
  • Fax: 410-469-3085

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberSP011002
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberSP021300
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: