Hungerford, Sally

Hungerford, Sally is an individual health care provider with primary practice located at 13501 Moccasin Gap Rd , Tallahassee FL 32309-7234. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Hungerford, Sally can be contacted via phone (352) 214-6964.

Contact Information

Primary practice address
13501 Moccasin Gap Rd Tallahassee FL 32309-7234
Phone: (352) 214-6964
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X ARNP9188660 Florida

Profile Details

NPI number 1881688026
LBN Legal business name Hungerford, Sally
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2005
Last updated Mar 16th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881688026 NPPES
Florida MEDICAID 304936100

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