Saunders, Amanda Star
Saunders, Amanda Star is an sole proprietor health care provider with primary practice located at 2910 Shed Rd , Bossier City LA 71111-3154. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Saunders, Amanda Star can be contacted via phone (318) 747-0540.Contact Information
Primary practice address
2910 Shed Rd
Bossier City LA 71111-3154
Phone: (318) 747-0540
Fax: (318) 741-5700
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | AP05837 | Louisiana |
Profile Details
| NPI number | 1689909103 |
|---|---|
| LBN Legal business name | Saunders, Amanda Star |
| Credentials | Certified Pediatric Nurse Practitioner (CPNP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 16th, 2009 |
| Last updated | May 24th, 2022 - about 4 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 | 1689909103 | NPPES |
| Louisiana | MEDICAID | 2117254 |
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