Provider Demographics
NPI:1386973238
Name:SAUNDERS, STEPHANIE LARAE (RN)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:LARAE
Last Name:SAUNDERS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45300 CEMETERY RD
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:44090-9515
Mailing Address - Country:US
Mailing Address - Phone:440-610-9620
Mailing Address - Fax:
Practice Address - Street 1:45300 CEMETERY RD
Practice Address - Street 2:
Practice Address - City:WELLINGTON
Practice Address - State:OH
Practice Address - Zip Code:44090-9515
Practice Address - Country:US
Practice Address - Phone:440-610-9620
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-23
Last Update Date:2009-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.253609-163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health