Provider Demographics
NPI:1114988631
Name:SALJOUGHY, OLGA (FNP)
Entity Type:Individual
Prefix:MRS
First Name:OLGA
Middle Name:
Last Name:SALJOUGHY
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 1:115 E HONOLULU ST
Mailing Address - Street 2:
Mailing Address - City:LINDSAY
Mailing Address - State:CA
Mailing Address - Zip Code:93247-2526
Mailing Address - Country:US
Mailing Address - Phone:559-562-2278
Mailing Address - Fax:559-562-3666
Practice Address - Street 1:115 E HONOLULU ST
Practice Address - Street 2:
Practice Address - City:LINDSAY
Practice Address - State:CA
Practice Address - Zip Code:93247-2526
Practice Address - Country:US
Practice Address - Phone:559-562-2278
Practice Address - Fax:559-562-3666
Is Sole Proprietor?:No
Enumeration Date:2006-04-01
Last Update Date:2021-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP 10521363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily