Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | RN0000079631 | TN |
NPI | 1013022573 |
---|---|
Provider Name | Mrs. Sandra Dale Saunders |
First Address | Goodlettsville, TN 37072-1601 |
Second Address | Nashville, TN 37212-2637 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/08/2006 |
Last Update Date | 08/07/2007 |