Saunders, Amanda Star

Saunders, Amanda Star is an sole proprietor health care provider with primary practice located at 2910 Shed Rd , Bossier City LA 71111-3154. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Saunders, Amanda Star can be contacted via phone (318) 747-0540.

Contact Information

Primary practice address
2910 Shed Rd Bossier City LA 71111-3154
Phone: (318) 747-0540
Fax: (318) 741-5700
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X AP05837 Louisiana

Profile Details

NPI number 1689909103
LBN Legal business name Saunders, Amanda Star
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 16th, 2009
Last updated May 24th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689909103 NPPES
Louisiana MEDICAID 2117254

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