Provider Demographics
NPI:1750943775
Name:SADDLER, ANNETTE CATHERINE
Entity type:Individual
Prefix:
First Name:ANNETTE
Middle Name:CATHERINE
Last Name:SADDLER
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 1:15 SKYVIEW DR
Mailing Address - Street 2:
Mailing Address - City:FITCHBURG
Mailing Address - State:MA
Mailing Address - Zip Code:01420-2052
Mailing Address - Country:US
Mailing Address - Phone:978-270-9338
Mailing Address - Fax:
Practice Address - Street 1:15 SKYVIEW DR
Practice Address - Street 2:
Practice Address - City:FITCHBURG
Practice Address - State:MA
Practice Address - Zip Code:01420-2052
Practice Address - Country:US
Practice Address - Phone:978-270-9338
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-29
Last Update Date:2019-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN283139163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse