Individual
NDENE DERICK SALLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNP, APRN, PMHNP-BC
Contact information
Practice address
10000 S WILMOT RD, TUCSON, AZ 85756-8699
(240) 425-7240
Mailing address
9550 S VIA BANDERA, VAIL, AZ 85641-2167
(240) 425-7240
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
256335
AZ
Other
Enumeration date
10/21/2022
Last updated
03/03/2024
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