Provider Demographics
NPI:1023175668
Name:SAUNDERS, NANCY (PHYSICIAN ASSISTANT)
Entity type:Individual
Prefix:MS
First Name:NANCY
Middle Name:
Last Name:SAUNDERS
Suffix:
Gender:F
Credentials:PHYSICIAN ASSISTANT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4401 FORD AVE
Mailing Address - Street 2:SUITE 250
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22302-1473
Mailing Address - Country:US
Mailing Address - Phone:703-379-8879
Mailing Address - Fax:
Practice Address - Street 1:4401 FORD AVE
Practice Address - Street 2:SUITE 250
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22302-1473
Practice Address - Country:US
Practice Address - Phone:703-379-8879
Practice Address - Fax:703-998-6821
Is Sole Proprietor?:No
Enumeration Date:2007-01-02
Last Update Date:2009-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0110840829363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant