Provider Demographics
NPI:1194581645
Name:DELLA SALA, ELBA ELIZABETH (NBC-HWC)
Entity type:Individual
Prefix:MRS
First Name:ELBA
Middle Name:ELIZABETH
Last Name:DELLA SALA
Suffix:
Gender:F
Credentials:NBC-HWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1423 CROCUS CT
Mailing Address - Street 2:
Mailing Address - City:LONGWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:32750-4519
Mailing Address - Country:US
Mailing Address - Phone:908-872-8483
Mailing Address - Fax:
Practice Address - Street 1:1423 CROCUS CT
Practice Address - Street 2:
Practice Address - City:LONGWOOD
Practice Address - State:FL
Practice Address - Zip Code:32750-4519
Practice Address - Country:US
Practice Address - Phone:908-872-8483
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-22
Last Update Date:2024-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL171400000X171400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach