Provider Demographics
NPI:1578940615
Name:NAZARENO, DON-MICHAEL SALVADOR (RN)
Entity Type:Individual
Prefix:MR
First Name:DON-MICHAEL
Middle Name:SALVADOR
Last Name:NAZARENO
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2612 W GRAND AVE APT E
Mailing Address - Street 2:
Mailing Address - City:ALHAMBRA
Mailing Address - State:CA
Mailing Address - Zip Code:91801-1691
Mailing Address - Country:US
Mailing Address - Phone:619-206-0456
Mailing Address - Fax:
Practice Address - Street 1:2612 W GRAND AVE APT E
Practice Address - Street 2:
Practice Address - City:ALHAMBRA
Practice Address - State:CA
Practice Address - Zip Code:91801-1691
Practice Address - Country:US
Practice Address - Phone:619-206-0456
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-28
Last Update Date:2021-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program