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
Fax: (479) 631-0374
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396793170 NPPES
Arkansas MEDICAID 155331758

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