Dew Matasha Amanata Saunders in Wake Forest - Family
Dew Matasha Amanata Saunders - NPI 1750462461
Dew Matasha Amanata Saunders is a Family in Wake Forest, North Carolina. Dew Matasha Amanata Saunders practices all healthcare services and medical treatments related to Family. The NPI Number for Dew Matasha Amanata Saunders is 1750462461. The last update date is 2022-03-28.
Dew Matasha Amanata Saunders's current location address is 245 E Roosevelt Ave, Wake Forest, North Carolina. You can contact this provider via phone number 9195561900 and fax number 9195693558. The mailing address for Dew Matasha Amanata Saunders is 245 E Roosevelt Ave, Wake Forest, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dew Matasha Amanata Saunders |
|---|---|
| Address | 245 E Roosevelt Ave, Wake Forest, North Carolina |
| Phone Number | 9195561900 |
| Fax Number | 9195693558 |
| Sole Proprietor | N |
| Credentials | FNP |
NPI Number Detail
| NPI Number | 1750462461 |
|---|---|
| Provider Enumeration Date | 2006-10-18 |
| Last Updated Date | 2022-03-28 |
Provider Mailing Address Detail
| Address | 245 E Roosevelt Ave |
|---|---|
| City | Wake Forest |
| State | North Carolina (NC) |
| Post Code | 275872719 |
| Phone Number | 9195561900 |
| Fax Number | 9195693558 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 5002188 |
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Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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What is the Dew Matasha Amanata Saunders's unique identification number?
The Dew Matasha Amanata Saunders has been assigned the NPI (National Provider Identifier) Number 1750462461 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Dew Matasha Amanata Saunders?
The Dew Matasha Amanata Saunders is physically situated at 245 E Roosevelt Ave, in the city of Wake Forest, state of NC, with the postal code 275872719.
What is Dew Matasha Amanata Saunders's specialized field of practice, and what is the corresponding taxonomy classification code?
The Dew Matasha Amanata Saunders's area of specialization is Family, and the corresponding taxonomy code that categorizes this field of practice is 363Lf0000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1750462461 to Dew Matasha Amanata Saunders?
The Centers for Medicare & Medicaid Services originally issued the 1750462461 to Dew Matasha Amanata Saunders on 2006-10-18.
When was the information pertaining to Dew Matasha Amanata Saunders most recently updated or revised?
The details related to Dew Matasha Amanata Saunders, including its address, specialty, and other relevant information, were last updated or revised on 2022-03-28.
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