Provider Demographics
NPI:1033655873
Name:SAINDON, SUE ANN (RN)
Entity Type:Individual
Prefix:
First Name:SUE
Middle Name:ANN
Last Name:SAINDON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1030 SOUTH 50TH AVENUE
Mailing Address - Street 2:APT. 58
Mailing Address - City:WAUSAU
Mailing Address - State:WI
Mailing Address - Zip Code:54401-9462
Mailing Address - Country:US
Mailing Address - Phone:715-849-9308
Mailing Address - Fax:
Practice Address - Street 1:1030 SOUTH 50TH AVENUE
Practice Address - Street 2:APT. 58
Practice Address - City:WAUSAU
Practice Address - State:WI
Practice Address - Zip Code:54401-9462
Practice Address - Country:US
Practice Address - Phone:715-849-9308
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-18
Last Update Date:2017-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI83164-030163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse