Provider Demographics
NPI:1437591823
Name:SAUNDERS, CHRISTINE (PA)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:
Last Name:SAUNDERS
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:CHRISTINE
Other - Middle Name:
Other - Last Name:FEHRMANN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA
Mailing Address - Street 1:4600 MONTGOMERY BLVD NE STE 100
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87109-1210
Mailing Address - Country:US
Mailing Address - Phone:505-924-5840
Mailing Address - Fax:505-924-5841
Practice Address - Street 1:4600 MONTGOMERY BLVD NE STE B100
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87109-1206
Practice Address - Country:US
Practice Address - Phone:505-924-5840
Practice Address - Fax:505-924-5841
Is Sole Proprietor?:No
Enumeration Date:2013-07-25
Last Update Date:2024-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0110004311363A00000X
NMPA2014-0008363A00000X, 363AS0400X, 202K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes202K00000XAllopathic & Osteopathic PhysiciansPhlebology
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical