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NPI Code Detail

MEDICARE: EVA KAROL SASALA FNP

MEDICARE: EVA KAROL SASALA FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerAPN10446TN

General Provider Information

NPI Number : 1053346429
Entity Type Code : Individual
Provider Name (Legal Business Name) : EVA KAROL SASALA FNP
Provider Business Mailing Address
First Line : 1275 DICK LONAS RD UNIT 101
Second Line :
City : KNOXVILLE
State : TN
Zip : 37909-1383
Country : US
Telephone Number : 865-584-4747
Fax Number : 865-381-1509
Provider Business Practice Location Address
First Line : 1404 TUSCULUM BLVD STE 3100
Second Line :
City : GREENEVILLE
State : TN
Zip : 37745-4648
Country : US
Telephone Number : 423-638-4114
Fax Number : 423-638-1605
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2006
Last Update Date : 11/21/2024

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