Doctor Name: | GRETCHEN MARIE SAUDER |
NPI Number: | 1225426273 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNP |
License Number: | SP014464 |
Business Practice Address: | 1635 W Main St Suite 700 Ephrata, PA - 175221119 |
Business Phone Number: | 7177380660 |
Business Fax Number: | 7177380658 |
Mailing Address: | 1635 W Main St, Suite 700 EPHRATA |
State: | PA |
Postal Code: | 175221119 |
Phone Number: | 7177380660 |
Fax Number: | 7177380658 |
NPI Enumeration Date: | 12/29/2014 |
NPI Last Update Date: | 12/29/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | SP014464 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |