Individual
NICOLE SAUNDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
11050 PARKVIEW CIRCLE DR, FORT WAYNE, IN 46845-1739
(833) 274-8326
(260) 266-7935
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10003285A
IN
363AM0700X
Medical Physician Assistant
024697
NY
Other
Enumeration date
11/13/2018
Last updated
12/04/2023
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