Saunderson, Marineta L
Saunderson, Marineta L is an individual health care provider with primary practice located at 4855 S Moorland Rd , New Berlin WI 53151-7494. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Saunderson, Marineta L can be contacted via phone (262) 432-7599.Contact Information
Primary practice address
4855 S Moorland Rd
New Berlin WI 53151-7494
Phone: (262) 432-7599
Fax: (262) 432-7694
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 7206-33 | Wisconsin |
Profile Details
| NPI number | 1114210317 |
|---|---|
| LBN Legal business name | Saunderson, Marineta L |
| Credentials | Advanced Practice Nurse (APN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 20th, 2011 |
| Last updated | Oct 5th, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114210317 | NPPES |
| Wisconsin | MEDICAID | 1114210317 |
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