Provider Demographics
NPI:1043948318
Name:SAUNDERS, CELESTE ANN (PMHNP)
Entity type:Individual
Prefix:
First Name:CELESTE
Middle Name:ANN
Last Name:SAUNDERS
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 EDGEWOOD RD STE 106
Mailing Address - Street 2:
Mailing Address - City:EDGEWOOD
Mailing Address - State:MD
Mailing Address - Zip Code:21040-2735
Mailing Address - Country:US
Mailing Address - Phone:443-671-4040
Mailing Address - Fax:443-584-5700
Practice Address - Street 1:500 EDGEWOOD RD STE 106
Practice Address - Street 2:
Practice Address - City:EDGEWOOD
Practice Address - State:MD
Practice Address - Zip Code:21040-2735
Practice Address - Country:US
Practice Address - Phone:443-671-4040
Practice Address - Fax:443-584-5700
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-12
Last Update Date:2024-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR115358363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health