Provider Demographics
NPI:1316784838
Name:SAUNDERS, CAROLINE-CAMILLA EUGENIE (APRN, CPNP-PC, MSN)
Entity type:Individual
Prefix:
First Name:CAROLINE-CAMILLA
Middle Name:EUGENIE
Last Name:SAUNDERS
Suffix:
Gender:F
Credentials:APRN, CPNP-PC, MSN
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Other - Middle Name:
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Mailing Address - Street 1:1621 NASHVILLE ST STE 106
Mailing Address - Street 2:
Mailing Address - City:RUSSELLVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42276-8871
Mailing Address - Country:US
Mailing Address - Phone:270-946-1372
Mailing Address - Fax:
Practice Address - Street 1:1621 NASHVILLE ST STE 106
Practice Address - Street 2:
Practice Address - City:RUSSELLVILLE
Practice Address - State:KY
Practice Address - Zip Code:42276-8871
Practice Address - Country:US
Practice Address - Phone:270-946-1372
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-11
Last Update Date:2024-07-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN35132363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics