Doctor Name: | MRS. RANDI L SALTER |
NPI Number: | 1205169901 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, CNP-A |
License Number: | A0809049 |
Business Practice Address: | 401 Phalen Blvd Healthpartners Speciality Center 401 St. Paul, MN - 551305302 |
Business Phone Number: | 6512547580 |
Business Fax Number: | 6512547584 |
Mailing Address: | 8170 33rd Ave S, Ms21110q MINNEAPOLIS |
State: | MN |
Postal Code: | 554254516 |
Phone Number: | 9528835375 |
Fax Number: | 6512547584 |
NPI Enumeration Date: | 09/12/2009 |
NPI Last Update Date: | 12/07/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | A0809049 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |