MEDICARE: MS. JOANIE ILENE SALOTTI NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2200X	Adult Health Nurse Practitioner	497721	CA

General Provider Information

NPI Number	:	1023271483
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JOANIE ILENE SALOTTI NP

Provider Business Mailing Address
First Line	:	200 WEST ARBOR DRIVE
Second Line	:	LIVER TRANSPLANT OFFICE
City	:	SAN DIEGO
State	:	CA
Zip	:	92103-8707
Country	:	US
Telephone Number	:	619-543-2451
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 WEST ARBOR DRIVE
Second Line	:	LIVER TRANSPLANT OFFICE
City	:	SAN DIEGO
State	:	CA
Zip	:	92103-8707
Country	:	US
Telephone Number	:	619-543-2451
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2008
Last Update Date	:	07/07/2008

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