Provider Demographics
NPI:1104601129
Name:SAUNDERS, LAURA KATHARINE (RN)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:KATHARINE
Last Name:SAUNDERS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:KATHARINE
Other - Last Name:WALTERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:151 DAWSON RD
Mailing Address - Street 2:
Mailing Address - City:WAHIAWA
Mailing Address - State:HI
Mailing Address - Zip Code:96786-5803
Mailing Address - Country:US
Mailing Address - Phone:757-812-8963
Mailing Address - Fax:
Practice Address - Street 1:151 DAWSON RD
Practice Address - Street 2:
Practice Address - City:WAHIAWA
Practice Address - State:HI
Practice Address - Zip Code:96786-5803
Practice Address - Country:US
Practice Address - Phone:808-655-6792
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-28
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN531117163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse