Individual
SANDRA GAYLE SALAZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
4425 JUAN TABO BLVD NE STE 112, ALBUQUERQUE, NM 87111-2684
(505) 503-6800
Mailing address
24 CAMILLO RD, LOS LUNAS, NM 87031-5716
(505) 350-5945
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
75454
NM
Other
Enumeration date
10/23/2023
Last updated
10/21/2025
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