Individual
ENA SALAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
8101 N 19TH AVE, PHOENIX, AZ 85021-5161
(602) 845-4505
Mailing address
1121 N 44TH ST APT 3098, PHOENIX, AZ 85008-5743
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
223011
AZ
Other
Enumeration date
04/14/2026
Last updated
04/14/2026
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