Healthcare Provider Details

I. General information

NPI: 1902884158
Provider Name (Legal Business Name): MARITZA ELIZABETH SALGADO DNP, APRN, FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/06/2006
Last Update Date: 04/07/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11312 JEFFERSON HWY
RIVER RIDGE LA
70123-1709
US

IV. Provider business mailing address

PO BOX 2490
MARRERO LA
70073-2490
US

V. Phone/Fax

Practice location:
  • Phone: 504-463-3002
  • Fax: 504-463-3070
Mailing address:
  • Phone: 504-463-3002
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP04614
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: