Provider Demographics
NPI:1447379276
Name:SALAZAR, CHERI (CPNP)
Entity Type:Individual
Prefix:
First Name:CHERI
Middle Name:
Last Name:SALAZAR
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3901 BEAUBIEN CHM - NEUROSURGERY
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48201
Mailing Address - Country:US
Mailing Address - Phone:313-833-4490
Mailing Address - Fax:
Practice Address - Street 1:13750 S SEDONA PKWY STE 2
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48906-8101
Practice Address - Country:US
Practice Address - Phone:517-353-4000
Practice Address - Fax:844-722-4112
Is Sole Proprietor?:No
Enumeration Date:2007-03-29
Last Update Date:2023-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704229900363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner