Provider Demographics
NPI:1316576358
Name:SAUNDERS, MONIQUE ANTONINE (RN)
Entity Type:Individual
Prefix:MRS
First Name:MONIQUE
Middle Name:ANTONINE
Last Name:SAUNDERS
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 1:4100 MARKET ST STE 100
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35808-3007
Mailing Address - Country:US
Mailing Address - Phone:347-436-6170
Mailing Address - Fax:
Practice Address - Street 1:4100 MARKET ST STE 100
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35808-3007
Practice Address - Country:US
Practice Address - Phone:347-436-6170
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-02
Last Update Date:2023-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYRN1056941163W00000X
AL1-194415163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse