Provider Demographics
NPI:1215125455
Name:SAUNDERS, AMY LYNNE (CRNP)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:LYNNE
Last Name:SAUNDERS
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:
Other - Last Name:SULLIVAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP
Mailing Address - Street 1:PO BOX 18428
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35804-8428
Mailing Address - Country:US
Mailing Address - Phone:256-705-4224
Mailing Address - Fax:256-705-4135
Practice Address - Street 1:3601 CCI DR NW
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35805-2606
Practice Address - Country:US
Practice Address - Phone:256-705-4224
Practice Address - Fax:256-705-4135
Is Sole Proprietor?:No
Enumeration Date:2007-10-12
Last Update Date:2016-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-106666363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL510-50070OtherBCBS OF ALABAMA
AL51548217OtherBLUE CROSS OF ALABAMA
AL515-92291OtherBLUE CROSS OF ALABAMA
AL51549303OtherBLUE CROSS OF ALABAMA
AL528701110Medicaid
AL515-95461OtherBCBS OF ALABAMA
ALCA0084OtherRR MEDICARE
AL111643Medicaid
AL515-49315OtherBLUE CROSS BLUE SHIELD OF ALABAMA
AL51549313OtherBLUE CROSS OF ALABAMA
AL51549313OtherBLUE CROSS OF ALABAMA
AL510I500129Medicare UPIN