Doctor Name: | LUISA MARIA SALLENT |
NPI Number: | 1104126176 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | ARNP9210044 |
Business Practice Address: | 14619 Glencairn Rd Miami Lakes, FL - 330161447 |
Business Phone Number: | 3054018209 |
Business Fax Number: | 4862692300 |
Mailing Address: | 14619 Glencairn Rd, MIAMI LAKES |
State: | FL |
Postal Code: | 330161447 |
Phone Number: | 3054018209 |
Fax Number: | 4862692300 |
NPI Enumeration Date: | 10/25/2010 |
NPI Last Update Date: | 10/25/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | ARNP9210044 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |