Individual
HIBA SALEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNPC-AG
Contact information
Practice address
8401 MAYLAND DR STE S, RICHMOND, VA 23294-4648
(720) 299-6850
Mailing address
16363 E FREMONT AVE APT 1326, AURORA, CO 80016-2269
(720) 299-6850
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
0997458
CO
363LA2200X
Adult Health Nurse Practitioner
0997458
CO
363LG0600X
Gerontology Nurse Practitioner
0997458
CO
Other
Enumeration date
03/24/2022
Last updated
09/16/2024
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