Salazar, Mary Ann
Salazar, Mary Ann is an individual health care provider with primary practice located at 1233 West Poplar Street , Rogers AR 72756. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Salazar, Mary Ann can be contacted via phone (479) 636-9235.Contact Information
Primary practice address
1233 West Poplar Street
Rogers AR 72756
Phone: (479) 636-9235
Fax: (479) 631-0374
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | A01266 | Arkansas |
Profile Details
| NPI number | 1396793170 |
|---|---|
| LBN Legal business name | Salazar, Mary Ann |
| Credentials | Adult Nurse Practitioner (ANP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2006 |
| Last updated | Apr 9th, 2010 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396793170 | NPPES |
| Arkansas | MEDICAID | 155331758 |
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