MEDICARE: MS. SUZANNE LYNN SAUNDERS CNM, MPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367A00000X	Advanced Practice Midwife	NMW1414	CA

General Provider Information

NPI Number	:	1326195660
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SUZANNE LYNN SAUNDERS CNM, MPH

Provider Business Mailing Address
First Line	:	3536 MENDOCINO AVE STE 200
Second Line	:
City	:	SANTA ROSA
State	:	CA
Zip	:	95403-3634
Country	:	US
Telephone Number	:	707-579-1102
Fax Number	:	707-579-1386

Provider Business Practice Location Address
First Line	:	500 DOYLE PARK DR STE 103
Second Line	:
City	:	SANTA ROSA
State	:	CA
Zip	:	95405-4559
Country	:	US
Telephone Number	:	707-579-1102
Fax Number	:	707-579-1386

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/05/2007
Last Update Date	:	02/20/2015

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