Provider Demographics
NPI:1578554176
Name:SAUNDERS, ANN KATHLEEN (CRNA)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:KATHLEEN
Last Name:SAUNDERS
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:480 MAPLE ST
Mailing Address - Street 2:SUITE C233A
Mailing Address - City:DANVERS
Mailing Address - State:MA
Mailing Address - Zip Code:01923-4065
Mailing Address - Country:US
Mailing Address - Phone:978-304-8690
Mailing Address - Fax:978-304-8697
Practice Address - Street 1:480 MAPLE ST
Practice Address - Street 2:SUITE C233A
Practice Address - City:DANVERS
Practice Address - State:MA
Practice Address - Zip Code:01923-4065
Practice Address - Country:US
Practice Address - Phone:978-304-8690
Practice Address - Fax:978-304-8697
Is Sole Proprietor?:No
Enumeration Date:2005-11-02
Last Update Date:2021-04-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA192603367500000X
VT101-0021994367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
MANA0979Medicare ID - Type Unspecified