Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | 431100 | NY |
NPI | 1013376391 |
---|---|
Provider Name | Rebecca Saunders |
First Address | New York, NY 10075-1850 |
Second Address | New York, NY 10075-1850 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/02/2016 |
Last Update Date | 02/12/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
906094868 | DRIVER'S LICENSE (01) | NY |