Provider Demographics
NPI:1871040295
Name:SAUNDERS, CHARLOTTE M (CRNP)
Entity Type:Individual
Prefix:
First Name:CHARLOTTE
Middle Name:M
Last Name:SAUNDERS
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:CHARLOTTE
Other - Middle Name:M
Other - Last Name:DANIELS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CRNP
Mailing Address - Street 1:501 S 54TH ST
Mailing Address - Street 2:STE 26
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19143-1900
Mailing Address - Country:US
Mailing Address - Phone:215-748-9200
Mailing Address - Fax:215-748-9307
Practice Address - Street 1:510 E BALTIMORE PIKE
Practice Address - Street 2:
Practice Address - City:MEDIA
Practice Address - State:PA
Practice Address - Zip Code:19063-3836
Practice Address - Country:US
Practice Address - Phone:610-566-3218
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-01
Last Update Date:2019-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP016528363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily