MEDICARE: SARITA GLADNEY

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
1	163WC0200X	Critical Care Medicine Registered Nurse	9472118	FL

General Provider Information

NPI Number	:	1568390276
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARITA GLADNEY

Provider Business Mailing Address
First Line	:	6631 NORTHCHESTER DR
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77493-4272
Country	:	US
Telephone Number	:	346-818-4118
Fax Number	:

Provider Business Practice Location Address
First Line	:	1255 HIGHWAY 54 W
Second Line	:
City	:	FAYETTEVILLE
State	:	GA
Zip	:	30214-4526
Country	:	US
Telephone Number	:	770-719-7000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/12/2026
Last Update Date	:	05/12/2026

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Directions to “ SARITA GLADNEY ” Practice Location

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