MEDICARE: BARBARA R SALAS CNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LW0102X	Women's Health Nurse Practitioner	R23147	NM

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1245329697
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BARBARA R SALAS CNP

Provider Business Mailing Address
First Line	:	1424 SECOND STREET
Second Line	:
City	:	SANTA FE
State	:	NM
Zip	:	87505-3485
Country	:	US
Telephone Number	:	505-982-2991
Fax Number	:	505-982-4508

Provider Business Practice Location Address
First Line	:	1424 SECOND STREET
Second Line	:
City	:	SANTA FE
State	:	NM
Zip	:	87505-3485
Country	:	US
Telephone Number	:	505-982-2991
Fax Number	:	505-982-4508

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/12/2006
Last Update Date	:	07/03/2019

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Directions to “ BARBARA R SALAS CNP” Practice Location

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