Provider Demographics
NPI:1932287075
Name:SAULNIER, CHARLENE (FNP)
Entity Type:Individual
Prefix:
First Name:CHARLENE
Middle Name:
Last Name:SAULNIER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 HIGHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:MA
Mailing Address - Zip Code:01970-2721
Mailing Address - Country:US
Mailing Address - Phone:978-744-3223
Mailing Address - Fax:978-744-4990
Practice Address - Street 1:107 HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:MA
Practice Address - Zip Code:01970-2721
Practice Address - Country:US
Practice Address - Phone:978-744-3223
Practice Address - Fax:978-744-4990
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2010-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA177919363LF0000X, 207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3196615Medicaid
NP3478Medicare ID - Type Unspecified
MA3196615Medicaid