Healthcare Provider Details

I. General information

NPI: 1437042884
Provider Name (Legal Business Name): DENISSE MORELIA SALAZAR NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/02/2025
Last Update Date: 06/02/2025
Certification Date: 06/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

420 NE 72ND ST APT 215
SEATTLE WA
98115-5748
US

IV. Provider business mailing address

420 NE 72ND ST APT 215
SEATTLE WA
98115-5748
US

V. Phone/Fax

Practice location:
  • Phone: 360-640-4325
  • Fax:
Mailing address:
  • Phone: 360-640-4325
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number61651926
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number60717593
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: