| Doctor Name: | MS. ELIS MABEL SALAMONE |
| NPI Number: | 1720392459 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | WHNP-BC |
| License Number: | 0001129600 |
| Business Practice Address: | 559 Vincent St Attn: 21 Mdos/sgog-women's Health Clinic Peterson Afb, CO - 809141540 |
| Business Phone Number: | 7195561301 |
| Business Fax Number: | 8668677926 |
| Mailing Address: | 559 Vincent St, Attn: 21 Mdos/sgog-women's Health Clinic PETERSON AFB |
| State: | CO |
| Postal Code: | 809141540 |
| Phone Number: | 7195561301 |
| Fax Number: | 8668677926 |
| NPI Enumeration Date: | 08/05/2010 |
| NPI Last Update Date: | 08/05/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WW0101X |
| License Number: | 0001129600 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Women's Health Care, Ambulatory |
| Taxonomy Definition: | |