Provider Demographics
NPI:1518675198
Name:SULE, SALAMATU
Entity Type:Individual
Prefix:
First Name:SALAMATU
Middle Name:
Last Name:SULE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SALAMATU
Other - Middle Name:
Other - Last Name:SULE-TAYLOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:625 EPPSFIELD LN
Mailing Address - Street 2:
Mailing Address - City:FUQUAY VARINA
Mailing Address - State:NC
Mailing Address - Zip Code:27526-5199
Mailing Address - Country:US
Mailing Address - Phone:919-510-3074
Mailing Address - Fax:
Practice Address - Street 1:625 EPPSFIELD LN
Practice Address - Street 2:
Practice Address - City:FUQUAY VARINA
Practice Address - State:NC
Practice Address - Zip Code:27526-5199
Practice Address - Country:US
Practice Address - Phone:919-510-3074
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-11
Last Update Date:2022-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC211-323163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse