Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | 11008214 | FL |
NPI | 1023620853 |
---|---|
Provider Name | Deanna Marie Salguero |
First Address | Saint Cloud, FL 34771-9117 |
Second Address | Kissimmee, FL 34741-4924 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/08/2020 |
Last Update Date | 25/08/2020 |