| Doctor Name: | BRENDA SALAS-AMIGON |
| NPI Number: | 1760757587 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, FNP-BC |
| License Number: | 26NJ00368300 |
| Business Practice Address: | 1105 Route 46 Minute Clinic Ledgewood, NJ - 078529704 |
| Business Phone Number: | 9739274662 |
| Business Fax Number: | |
| Mailing Address: | 6 Bowlby St, DOVER |
| State: | NJ |
| Postal Code: | 078012164 |
| Phone Number: | 9733437529 |
| Fax Number: | |
| NPI Enumeration Date: | 03/12/2012 |
| NPI Last Update Date: | 10/01/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 26NJ00368300 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |