Provider Demographics
NPI:1013342062
Name:SALDANA, EMILY HURD (PAC)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:HURD
Last Name:SALDANA
Suffix:
Gender:F
Credentials:PAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:496 SHEAS WAY
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37043-1673
Mailing Address - Country:US
Mailing Address - Phone:423-923-8129
Mailing Address - Fax:
Practice Address - Street 1:10755 EAGLE WAY STE 202
Practice Address - Street 2:
Practice Address - City:HOPKINSVILLE
Practice Address - State:KY
Practice Address - Zip Code:42240-8742
Practice Address - Country:US
Practice Address - Phone:270-887-5640
Practice Address - Fax:270-886-5371
Is Sole Proprietor?:No
Enumeration Date:2013-09-10
Last Update Date:2024-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2391363AM0700X
KYPA3380363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN2391OtherMEDICAL LICENSE#