Individual
CRISTINA SALABAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN696207
PA
363LF0000X
Family Nurse Practitioner
Primary
RN2328086
MA
363LF0000X
Family Nurse Practitioner
SP017742
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103383267
—
PA
05
—
110150399A
—
MA
Enumeration date
06/23/2017
Last updated
06/26/2019
Update your record
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