Mrs Shana Saunders, NP | |
3401 N Broad St, Philadelphia, PA 19140-5189 | |
(888) 924-7488 | |
Not Available |
Full Name | Mrs Shana Saunders |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 3401 N Broad St, Philadelphia, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760240675 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | SP028165 (Pennsylvania) | Primary |
Entity Name | Temple Faculty Practice Plan Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881176949 PECOS PAC ID: 0345588711 Enrollment ID: O20190208002623 |
Mailing Address | Practice Location Address |
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Mrs Shana Saunders, NP 3500 N Broad St Rm 1a, Philadelphia, PA 19140-4106 Ph: (215) 707-2433 | Mrs Shana Saunders, NP 3401 N Broad St, Philadelphia, PA 19140-5189 Ph: (888) 924-7488 |
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