Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | RN102444 | GA |
NPI | 1023010816 |
---|---|
Provider Name | Ms. Nancy Lynn Saunders |
First Address | Atlanta, GA 30341-4511 |
Second Address | Atlanta, GA 30341-4144 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/08/2005 |
Last Update Date | 13/02/2012 |