Provider Demographics
NPI:1568781367
Name:SAUNDERS, PAULA GLOVER (FNP)
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:GLOVER
Last Name:SAUNDERS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:PAULA
Other - Middle Name:
Other - Last Name:GLOVER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1901 MEDI PARK DR STE 65
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79106-2105
Mailing Address - Country:US
Mailing Address - Phone:806-468-4333
Mailing Address - Fax:806-468-4334
Practice Address - Street 1:1901 MEDI PARK DR STE 65
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79106-2105
Practice Address - Country:US
Practice Address - Phone:806-468-4333
Practice Address - Fax:806-468-4334
Is Sole Proprietor?:No
Enumeration Date:2010-05-19
Last Update Date:2016-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX683653363L00000X
TXAP119009363L00000X, 363LP0200X, 363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX415921ZHHLMedicare PIN
TX2152241-07Medicaid
TX683653OtherLICENSE
TXB143623Medicare UPIN
TX215224104Medicaid