Healthcare Provider Details

I. General information

NPI: 1891423745
Provider Name (Legal Business Name): FELITA SALIM FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/09/2022
Last Update Date: 08/09/2022
Certification Date: 08/09/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

70 W 37TH ST APT 1509
NEW YORK NY
10018-7298
US

IV. Provider business mailing address

70 W 37TH ST APT 1509
NEW YORK NY
10018-7298
US

V. Phone/Fax

Practice location:
  • Phone: 626-500-5404
  • Fax:
Mailing address:
  • Phone: 626-500-5404
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number350078
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: