Individual
MRS. MARY THERESA SALISKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(410) 502-2670
Mailing address
PO BOX 64382, BALTIMORE, MD 21264-4382
(410) 550-8432
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
R063111
MD
367500000X
Certified Registered Nurse Anesthetist
Primary
R063111
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
520067900
—
MD
Enumeration date
03/21/2007
Last updated
08/23/2017
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