Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | 219445 | AZ |
N | 363LA2100X | Nurse Practitioner - Acute Care | 60776635 | WA |
NPI | 1003337981 |
---|---|
Provider Name | Dr. Sarah Lynn Salce |
First Address | Flagstaff, AZ 86001-3118 |
Second Address | Flagstaff, AZ 86001-8759 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2017 |
Last Update Date | 14/01/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1003337981 | (05) | WA |
8968757 | MEDICARE PIN (01) | WA |