Chauncey Salman, NP

Individual provider Active NPI Nurse Practitioner · Saugus, CA

NPI 1689431504 · NPPES record last updated Mar 6, 2024

Key facts

NPI
1689431504
Entity type
Individual (NPI type 1)
Primary specialty
Nurse Practitioner 363L00000X
License
95025161 (CA)
Practice address
28014 Caraway LN
Saugus, CA 91350-3900
Phone
(951) 515-9193
NPI assigned
Mar 6, 2024
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95025161CAMDNurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95025161 CA Yes

Addresses

Primary practice location

28014 Caraway LN
Saugus, CA 91350-3900

Mailing address

28014 Caraway LN
Saugus, CA 91350-3900
Phone (951) 515-9193

Other providers in Saugus, CA

All providers in Saugus, CA · Nurse Practitioner in California

Sources for this page

Verify at the official NPI Registry.