Provider Demographics
NPI:1366832859
Name:NARDINI, SALLE
Entity Type:Individual
Prefix:
First Name:SALLE
Middle Name:
Last Name:NARDINI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 JIM MORAN BLVD
Mailing Address - Street 2:HEATHCARE SERVICES
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33442-1701
Mailing Address - Country:US
Mailing Address - Phone:954-429-2418
Mailing Address - Fax:954-429-2389
Practice Address - Street 1:111 JIM MORAN BLVD
Practice Address - Street 2:HEATHCARE SERVICES
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33442-1701
Practice Address - Country:US
Practice Address - Phone:954-429-2418
Practice Address - Fax:954-429-2389
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-04
Last Update Date:2015-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374700000XNursing Service Related ProvidersTechnician