Provider Demographics
NPI:1609435213
Name:GUGLANI, SARITA (FNP)
Entity type:Individual
Prefix:MS
First Name:SARITA
Middle Name:
Last Name:GUGLANI
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1147 DONELEA LN NW
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28027-8231
Mailing Address - Country:US
Mailing Address - Phone:704-804-3745
Mailing Address - Fax:
Practice Address - Street 1:8820 UNIVERSITY E DR STE A
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28213-4220
Practice Address - Country:US
Practice Address - Phone:980-859-4767
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-07
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCMLIZJRU8163W00000X
NC5011855363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse