Provider Demographics
NPI:1346314424
Name:SALTZER, NIKI X (APRN)
Entity Type:Individual
Prefix:
First Name:NIKI
Middle Name:
Last Name:SALTZER
Suffix:X
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:155 VINTAGE CIR APT 204
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34119-4763
Mailing Address - Country:US
Mailing Address - Phone:239-263-7524
Mailing Address - Fax:
Practice Address - Street 1:155 VINTAGE CIR APT 204
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34119-4763
Practice Address - Country:US
Practice Address - Phone:239-263-7524
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-20
Last Update Date:2021-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 1874862363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLY3636Medicare ID - Type UnspecifiedARNP PROVIDER NUMBER
FLY3636Medicare PIN
FLS50473Medicare UPIN