Individual
ROMAN AGUON SALAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN, NP, CNS
Contact information
Practice address
5955 ZEAMER AVE, ELMENDORF AFB, AK 99506-3702
(907) 580-2778
Mailing address
11327 FORTINO PT, SAN DIEGO, CA 92131-4229
(619) 753-9015
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
95035330
CA
363LG0600X
Gerontology Nurse Practitioner
95035330
CA
364SA2100X
Acute Care Clinical Nurse Specialist
5210
CA
364SA2200X
Adult Health Clinical Nurse Specialist
5210
CA
364SC0200X
Critical Care Medicine Clinical Nurse Specialist
5210
CA
364SG0600X
Gerontology Clinical Nurse Specialist
5210
CA
Other
Enumeration date
06/25/2025
Last updated
06/25/2025
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