Individual
REBECCA SAUNDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
100 E 77TH ST, NEW YORK, NY 10075-1850
(212) 434-6500
Mailing address
100 E 77TH ST, NEW YORK, NY 10075-1850
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
666954
NY
363LA2100X
Acute Care Nurse Practitioner
Primary
431100
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
906094868
DRIVER'S LICENSE
NY
Enumeration date
02/16/2016
Last updated
12/02/2017
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