Provider Demographics
NPI:1659458131
Name:SAUNDERS, MELISSA GAIL (WHNP)
Entity Type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:GAIL
Last Name:SAUNDERS
Suffix:
Gender:F
Credentials:WHNP
Other - Prefix:
Other - First Name:MELISSA
Other - Middle Name:GAIL
Other - Last Name:HORNBACK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:16611 S 40TH ST
Mailing Address - Street 2:SUITE 180
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85048-0562
Mailing Address - Country:US
Mailing Address - Phone:480-785-2100
Mailing Address - Fax:480-290-7980
Practice Address - Street 1:16611 S 40TH ST
Practice Address - Street 2:SUITE 180
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85048-0562
Practice Address - Country:US
Practice Address - Phone:480-785-2100
Practice Address - Fax:480-290-7980
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP1165363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZP29759Medicare UPIN