Provider Demographics
NPI:1912964370
Name:SALIBA, FRANKLIN ALEXY (CRNA)
Entity type:Individual
Prefix:
First Name:FRANKLIN
Middle Name:ALEXY
Last Name:SALIBA
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3184
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:62708-3184
Mailing Address - Country:US
Mailing Address - Phone:866-444-0850
Mailing Address - Fax:941-269-4426
Practice Address - Street 1:902 N 7TH ST
Practice Address - Street 2:
Practice Address - City:CORDELE
Practice Address - State:GA
Practice Address - Zip Code:31015-3234
Practice Address - Country:US
Practice Address - Phone:229-276-3100
Practice Address - Fax:229-271-4654
Is Sole Proprietor?:No
Enumeration Date:2006-04-28
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL027972367500000X
GARN180265367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL000001563Medicaid
AL01563Medicare ID - Type Unspecified