Saundra Lee Fahring
Individual provider Active NPI Attendant Care Provider · Vail, AZ
NPI 1942390190 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1942390190
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Attendant Care Provider 3747A0650X
- License
- RN037908 (AZ)
- Practice address
- 492 So Blue River Loop
Vail, AZ 85641-2262 - Phone
- (520) 762-1552
- NPI assigned
- Oct 16, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN037908 | AZ | MD | Attendant Care Provider |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Attendant Care Provider | 3747A0650X | RN037908 | AZ | Yes |
Addresses
Primary practice location
492 So Blue River Loop
Vail, AZ 85641-2262
Mailing address
12415 E Sutter Mill St
Tucson, AZ 85749-8209
Phone (520) 749-5271
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 140484 | Other | AZ | AHCCS THRU DDD |
Other names
- Miss Saundra Lee Van Atta
Other providers in Vail, AZ
- Julie Cristina Easterday
- Stacy B Eilers
- Chrissi Engstrom
- Olumayowa Enoma-Yusuf
- John William Fahlberg Jr.
- Nancy C Faria
- Sylvia Fischer
- Four Peaks Medical Transportation Company
- Angela Christene Gage
- Kelly Gallardo
All providers in Vail, AZ · Attendant Care Provider in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.