Individual
JULIA ILENE SALAMONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
500 ARCADE AVE STE 210, ELKHART, IN 46514-2485
(574) 389-5656
Mailing address
710 N NILES AVE, SOUTH BEND, IN 46617-1924
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
1-122290
AL
363LA2100X
Acute Care Nurse Practitioner
Primary
71009420A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300031864
—
IN
Enumeration date
12/19/2016
Last updated
04/05/2021
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