Provider Demographics
NPI:1053346429
Name:SASALA, EVA KAROL (FNP)
Entity type:Individual
Prefix:
First Name:EVA
Middle Name:KAROL
Last Name:SASALA
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:EVA
Other - Middle Name:K
Other - Last Name:FIELDS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1275 DICK LONAS RD UNIT 101
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37909-1383
Mailing Address - Country:US
Mailing Address - Phone:865-584-4747
Mailing Address - Fax:865-381-1509
Practice Address - Street 1:1404 TUSCULUM BLVD STE 3100
Practice Address - Street 2:
Practice Address - City:GREENEVILLE
Practice Address - State:TN
Practice Address - Zip Code:37745-4648
Practice Address - Country:US
Practice Address - Phone:423-638-4114
Practice Address - Fax:423-638-1605
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2024-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN10446363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily