Saunderson, Marineta L

Saunderson, Marineta L is an individual health care provider with primary practice located at 4855 S Moorland Rd , New Berlin WI 53151-7494. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Saunderson, Marineta L can be contacted via phone (262) 432-7599.

Contact Information

Primary practice address
4855 S Moorland Rd New Berlin WI 53151-7494
Phone: (262) 432-7599
Fax: (262) 432-7694
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 7206-33 Wisconsin

Profile Details

NPI number 1114210317
LBN Legal business name Saunderson, Marineta L
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2011
Last updated Oct 5th, 2016 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114210317 NPPES
Wisconsin MEDICAID 1114210317

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