Provider Demographics
NPI:1275569980
Name:SALISBURY-MILAN, DRUSKA L (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:DRUSKA
Middle Name:L
Last Name:SALISBURY-MILAN
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:21600 HWY 99
Mailing Address - Street 2:SUITE 280
Mailing Address - City:EDMONDS
Mailing Address - State:WA
Mailing Address - Zip Code:98026-8012
Mailing Address - Country:US
Mailing Address - Phone:425-774-2616
Mailing Address - Fax:425-774-2660
Practice Address - Street 1:21600 HWY 99
Practice Address - Street 2:SUITE 280
Practice Address - City:EDMONDS
Practice Address - State:WA
Practice Address - Zip Code:98026-8012
Practice Address - Country:US
Practice Address - Phone:425-774-2616
Practice Address - Fax:425-774-2660
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAPA10004377363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical