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NPI Code Detail

MEDICARE: CARINA SALAS

MEDICARE:   CARINA  SALAS
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
1363LF0000XFamily Nurse Practitioner18279-33WI

General Provider Information

NPI Number : 1710824198
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARINA SALAS
Provider Business Mailing Address
First Line : 3522 S 20TH ST
Second Line :
City : MILWAUKEE
State : WI
Zip : 53221-1509
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1032 S CESAR E CHAVEZ DR
Second Line :
City : MILWAUKEE
State : WI
Zip : 53204-2203
Country : US
Telephone Number : 414-672-1353
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2026
Last Update Date : 05/02/2026

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Directions to “ CARINA SALAS ” Practice Location

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