Provider Demographics
NPI:1073378196
Name:SALIBA, PERLA (FNP)
Entity Type:Individual
Prefix:
First Name:PERLA
Middle Name:
Last Name:SALIBA
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:203 ELDEN ST STE 304
Mailing Address - Street 2:
Mailing Address - City:HERNDON
Mailing Address - State:VA
Mailing Address - Zip Code:20170-4814
Mailing Address - Country:US
Mailing Address - Phone:609-380-6528
Mailing Address - Fax:
Practice Address - Street 1:203 ELDEN ST STE 304
Practice Address - Street 2:
Practice Address - City:HERNDON
Practice Address - State:VA
Practice Address - Zip Code:20170-4814
Practice Address - Country:US
Practice Address - Phone:703-463-9620
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-19
Last Update Date:2024-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024189435363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily