Provider Demographics
NPI:1649065053
Name:SALLA, CAREN DAVIS (RN)
Entity type:Individual
Prefix:MRS
First Name:CAREN
Middle Name:DAVIS
Last Name:SALLA
Suffix:
Gender:
Credentials:RN
Other - Prefix:MRS
Other - First Name:CAREN
Other - Middle Name:
Other - Last Name:DAVIS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:7146 SARATOGA WATERS WAY
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33467-7758
Mailing Address - Country:US
Mailing Address - Phone:561-629-3075
Mailing Address - Fax:
Practice Address - Street 1:7146 SARATOGA WATERS WAY
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33467-7758
Practice Address - Country:US
Practice Address - Phone:561-329-4593
Practice Address - Fax:770-777-6272
Is Sole Proprietor?:No
Enumeration Date:2025-04-14
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN2802552163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management