Provider Demographics
NPI:1396393294
Name:SALUGA, SHERI (PMHNP-BC)
Entity Type:Individual
Prefix:MS
First Name:SHERI
Middle Name:
Last Name:SALUGA
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 CARROLL AVE
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20707-4316
Mailing Address - Country:US
Mailing Address - Phone:240-593-8232
Mailing Address - Fax:
Practice Address - Street 1:595 MAIN ST STE 233
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20707-4352
Practice Address - Country:US
Practice Address - Phone:301-203-7626
Practice Address - Fax:301-664-2755
Is Sole Proprietor?:No
Enumeration Date:2019-09-04
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI9691-33363LP0808X
MDR201808363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health