Ms Elis Mabel Salamone, WHNP-BC | |
559 Vincent St, Attn: 21 Mdos/sgog-women's Health Clinic, Peterson Afb, CO 80914-1540 | |
(719) 556-1301 | |
(866) 867-7926 |
Full Name | Ms Elis Mabel Salamone |
---|---|
Gender | Female |
Speciality | Registered Nurse - Women's Health Care, Ambulatory |
Location | 559 Vincent St, Peterson Afb, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720392459 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WW0101X | Registered Nurse - Women's Health Care, Ambulatory | 0001129600 (Virginia) | Primary |
Entity Name | Puyallup Tribal Health Authority |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063455665 PECOS PAC ID: 9436047537 Enrollment ID: O20040309001482 |
Mailing Address | Practice Location Address |
---|---|
Ms Elis Mabel Salamone, WHNP-BC 559 Vincent St, Attn: 21 Mdos/sgog-women's Health Clinic, Peterson Afb, CO 80914-1540 Ph: (719) 556-1301 | Ms Elis Mabel Salamone, WHNP-BC 559 Vincent St, Attn: 21 Mdos/sgog-women's Health Clinic, Peterson Afb, CO 80914-1540 Ph: (719) 556-1301 |
Kathryn Reggio, WHNP Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 559 Vincent St, Peterson Afb, CO 80914 Phone: 719-556-0510 | |
Michael Jessup, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 959 Vincent Rd, Peterson Afb, CO 80914 Phone: 197-556-7484 |