Grullon, Sasha Pierina

Grullon, Sasha Pierina is an individual health care provider with primary practice located at 47 Congress St , Salem MA 01970-7308. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Grullon, Sasha Pierina can be contacted via phone (978) 744-8388.

Contact Information

Primary practice address
47 Congress St Salem MA 01970-7308
Phone: (978) 744-8388
Fax: (978) 740-2339
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN2280781 Massachusetts

Profile Details

NPI number 1043836513
LBN Legal business name Grullon, Sasha Pierina
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2020
Last updated Sep 2nd, 2020 - about 6 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 1043836513 NPPES
Massachusetts MEDICAID 110163084A

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