| Provider / Organization | NPI | Date Certified |
|---|---|---|
| KAYLA ROSE DISALVATORE | 1104583491 | 2021-11-21 |
Kayla Rose Disalvatore is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1104583491. Registration indicates Kayla Rose Disalvatore is a provider of services with a specialization in Nursing Service Providers, Registered Nurse (Registered Nurse, ) (All Other Specialties & Provider Types, ) (Registered Nurse, Nursing Service Providers)
| Entity Type | Individual |
| Provider Name | Kayla Rose Disalvatore |
| Practice Office Address | 63 BRIGGS AVE PLYMOUTH, MA US |
| Practice Office Telephone | 7744041146 |
| Mailing Address | 63 BRIGGS AVE PLYMOUTH, MA 023605916 US |
| Business Telephone | 7744041146 |
| Code | Practice | License No State |
|---|---|---|
| 163W00000X PRIMARY | Nursing Service Providers Registered Nurse Registered Nurse All Other Specialties & Provider Types Registered Nurse Nursing Service Providers | RN2326253
MA |