Healthcare Provider Details
I. General information
NPI: 1124009907
Provider Name (Legal Business Name): DENISE ANNE SALISBURY ARNP, CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: X
II. Dates (important events)
Enumeration Date: 11/09/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
411 OAK ST STERLING MEDICAL ASSOCIATES, ATTN: CREDENTIALS
CINCINNATI OH
45219-2598
US
IV. Provider business mailing address
411 OAK ST STERLING MEDICAL ASSOCIATES, ATTN: CREDENTIALS
CINCINNATI OH
45219-2598
US
V. Phone/Fax
- Phone: 513-984-1800
- Fax: 513-984-4909
- Phone: 513-984-1800
- Fax: 513-984-4909
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LX0001X |
| Taxonomy | Obstetrics & Gynecology Nurse Practitioner |
| License Number | AP30005861 |
| License Number State | WA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: