Provider Demographics
NPI:1598135733
Name:SAUNDERS, CARL JR (MSN, FNP)
Entity Type:Individual
Prefix:MR
First Name:CARL
Middle Name:
Last Name:SAUNDERS
Suffix:JR
Gender:M
Credentials:MSN, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:766 ORCHARD LAKE DR
Mailing Address - Street 2:
Mailing Address - City:DALEVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24083-3659
Mailing Address - Country:US
Mailing Address - Phone:540-525-8022
Mailing Address - Fax:
Practice Address - Street 1:766 ORCHARD LAKE DR
Practice Address - Street 2:
Practice Address - City:DALEVILLE
Practice Address - State:VA
Practice Address - Zip Code:24083-3659
Practice Address - Country:US
Practice Address - Phone:540-525-8022
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-30
Last Update Date:2015-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024172917363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily