Individual
MARY ANN SALAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
1233 WEST POPLAR STREET, ROGERS, AR 72756
(479) 636-9235
(479) 631-0374
Mailing address
1233 WEST POPLAR STREET, ROGERS, AR 72756
(479) 636-9235
(479) 631-0374
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A01266
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
155331758
—
AR
Enumeration date
05/04/2006
Last updated
04/09/2010
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