Provider Demographics
NPI:1366026031
Name:SALAZAR, ANAKAREN (APRN, CPNP-PC)
Entity Type:Individual
Prefix:MRS
First Name:ANAKAREN
Middle Name:
Last Name:SALAZAR
Suffix:
Gender:F
Credentials:APRN, CPNP-PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:213 GLEN COOK DR
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78041-6459
Mailing Address - Country:US
Mailing Address - Phone:956-319-4032
Mailing Address - Fax:
Practice Address - Street 1:6828 SPRINGFIELD AVE STE 1
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-2287
Practice Address - Country:US
Practice Address - Phone:956-726-4060
Practice Address - Fax:956-290-8720
Is Sole Proprietor?:No
Enumeration Date:2021-05-10
Last Update Date:2021-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1031071363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics