Healthcare Provider Details

I. General information

NPI: 1366999088
Provider Name (Legal Business Name): CHRISTINE MARIE SALERA RN, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/10/2016
Last Update Date: 02/08/2024
Certification Date: 02/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

386 14TH ST
OAKLAND CA
94612-3211
US

IV. Provider business mailing address

2177 E 24TH ST
OAKLAND CA
94606-4245
US

V. Phone/Fax

Practice location:
  • Phone: 510-210-5050
  • Fax: 510-981-4192
Mailing address:
  • Phone: 510-725-1590
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95007522
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number95068339
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: