Provider Demographics
NPI:1447724711
Name:SAUNDERS, TERRI ANN (APRN)
Entity type:Individual
Prefix:
First Name:TERRI ANN
Middle Name:
Last Name:SAUNDERS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16125 WIND VIEW LN
Mailing Address - Street 2:
Mailing Address - City:WINTER GARDEN
Mailing Address - State:FL
Mailing Address - Zip Code:34787-9229
Mailing Address - Country:US
Mailing Address - Phone:321-368-6154
Mailing Address - Fax:
Practice Address - Street 1:2140 N DON WICKHAM DR
Practice Address - Street 2:
Practice Address - City:CLERMONT
Practice Address - State:FL
Practice Address - Zip Code:34711-1922
Practice Address - Country:US
Practice Address - Phone:352-394-5922
Practice Address - Fax:352-394-1103
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-19
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11000566363LP0808X
FL11000566363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily