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Individual

MS. BARBARA M SALEM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
810 S 6TH ST, MONTICELLO, IN 47960-8201
(574) 583-6543
(574) 583-9502
Mailing address
PO BOX 5545, LAFAYETTE, IN 47903-5545
(765) 448-8000

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
332704
NY
363LF0000X
Family Nurse Practitioner
Primary
71002753A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000782284
ANTHEM PROVIDER NUMBER
IN
05
02328527
NY
05
100187080
IN
05
200301560G
IN
05
200913330
IN
Enumeration date
07/07/2005
Last updated
02/05/2013
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