Provider Demographics
NPI:1114509692
Name:SALGADO, LAURA DEL ROSARIO (NP)
Entity Type:Individual
Prefix:MISS
First Name:LAURA
Middle Name:DEL ROSARIO
Last Name:SALGADO
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
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Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:29255 LAUREL WOODS DR APT 103
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48034-4644
Mailing Address - Country:US
Mailing Address - Phone:248-954-9307
Mailing Address - Fax:
Practice Address - Street 1:29255 LAUREL WOODS DR APT 103
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48034-4644
Practice Address - Country:US
Practice Address - Phone:248-954-9307
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-25
Last Update Date:2022-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704300950363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily