Provider Demographics
NPI:1114971785
Name:SAUNDERS, MARYANN CLAIRE (ARNP)
Entity Type:Individual
Prefix:
First Name:MARYANN
Middle Name:CLAIRE
Last Name:SAUNDERS
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:61 DANIEL WEBSTER HWY
Mailing Address - Street 2:
Mailing Address - City:BOSCAWEN
Mailing Address - State:NH
Mailing Address - Zip Code:03303-2406
Mailing Address - Country:US
Mailing Address - Phone:281-731-3645
Mailing Address - Fax:
Practice Address - Street 1:246 WALNUT ST
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02460-1689
Practice Address - Country:US
Practice Address - Phone:617-244-3322
Practice Address - Fax:617-244-1827
Is Sole Proprietor?:No
Enumeration Date:2006-05-19
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH053893-23-06363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30343223Medicaid
NH30343223Medicaid
S80833Medicare UPIN