Individual
SASHA PIERINA GRULLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
47 CONGRESS ST, SALEM, MA 01970-7308
(978) 744-8388
(978) 740-2339
Mailing address
27 CONGRESS ST STE 513, SALEM, MA 01970-5523
(978) 744-8388
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2280781
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110163084A
—
MA
Enumeration date
06/22/2020
Last updated
09/02/2020
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