Provider Demographics
NPI:1134937055
Name:GALINDO, SABRINA ELISE
Entity type:Individual
Prefix:
First Name:SABRINA
Middle Name:ELISE
Last Name:GALINDO
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 1:8480 OLD CLEVELAND PIKE
Mailing Address - Street 2:
Mailing Address - City:OOLTEWAH
Mailing Address - State:TN
Mailing Address - Zip Code:37363-7010
Mailing Address - Country:US
Mailing Address - Phone:954-918-6942
Mailing Address - Fax:
Practice Address - Street 1:1067 RIVERFRONT PKWY STE 201
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37402-2222
Practice Address - Country:US
Practice Address - Phone:423-602-9530
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-23
Last Update Date:2024-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN37770363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily