Healthcare Provider Details

I. General information

NPI: 1891494936
Provider Name (Legal Business Name): MARICELA HURTADO SALINAS FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/27/2023
Last Update Date: 02/27/2023
Certification Date: 02/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

215 PESETAS LN
SANTA BARBARA CA
93110-1416
US

IV. Provider business mailing address

6590 CAMINO CARRETA
CARPINTERIA CA
93013-3102
US

V. Phone/Fax

Practice location:
  • Phone: 805-563-6110
  • Fax:
Mailing address:
  • Phone: 805-220-8304
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberF02230492
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: