Provider Demographics
NPI:1447303607
Name:RAWLINS, SAUNDRA ELAINE (CRNA)
Entity type:Individual
Prefix:
First Name:SAUNDRA
Middle Name:ELAINE
Last Name:RAWLINS
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:SAUNDRA
Other - Middle Name:E
Other - Last Name:RAWLINS-NOVICKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8823 SHELDON OAKS LN
Mailing Address - Street 2:
Mailing Address - City:ELK GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:95624-9666
Mailing Address - Country:US
Mailing Address - Phone:916-681-7129
Mailing Address - Fax:
Practice Address - Street 1:2025 MORSE AVE
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95825
Practice Address - Country:US
Practice Address - Phone:916-973-7696
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-19
Last Update Date:2022-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACRNA 2717367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAQ13333Medicare UPIN