Healthcare Provider Details

I. General information

NPI: 1871359018
Provider Name (Legal Business Name): RHONDA SALGADO NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/26/2024
Last Update Date: 04/11/2025
Certification Date: 04/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

829 S SAN FRANCISCO ST
FLAGSTAFF AZ
86011-7127
US

IV. Provider business mailing address

829 S SAN FRANCISCO ST
FLAGSTAFF AZ
86011-0001
US

V. Phone/Fax

Practice location:
  • Phone: 928-817-7687
  • Fax:
Mailing address:
  • Phone: 928-523-2131
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number164209
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number306454
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: