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Individual
SALEMA COAXUM
Active
Individual
SALEMA COAXUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN200458
GA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
23829
SC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
826486
NV
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN-NP200458
GA
Other
Enumeration date
09/01/2015
Last updated
07/04/2026
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