Provider Demographics
NPI:1760990238
Name:SAUNDERS, HEATHER D
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:D
Last Name:SAUNDERS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8015 GOODMAN AVE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44105-5878
Mailing Address - Country:US
Mailing Address - Phone:440-305-4983
Mailing Address - Fax:
Practice Address - Street 1:8015 GOODMAN AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44105-5878
Practice Address - Country:US
Practice Address - Phone:440-305-4983
Practice Address - Fax:440-305-4983
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-18
Last Update Date:2018-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH400328360204OtherSTNA