Salagala, Grace
Salagala, Grace is an individual health care provider with primary practice located at 1396 Whisper Cir , Sebring FL 33870-1204. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Salagala, Grace can be contacted via phone (863) 385-1244.Contact Information
Primary practice address
1396 Whisper Cir
Sebring FL 33870-1204
Phone: (863) 385-1244
Fax: (863) 385-6086
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 11003289 | Florida |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | APRN11003289 | Florida |
Profile Details
NPI number | 1467093203 |
---|---|
LBN Legal business name | Salagala, Grace |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 2nd, 2019 |
Last updated | Oct 27th, 2022 - about 2 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1467093203 | NPPES |
Florida | Other | KSHWX | BCBS |
Florida | MEDICAID | 104451000 | BCBS |
Florida | Other | LV884 | BCBS |
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