Provider Demographics
NPI:1639134372
Name:SALVO, DENISE T (MSN CRNP)
Entity Type:Individual
Prefix:
First Name:DENISE
Middle Name:T
Last Name:SALVO
Suffix:
Gender:F
Credentials:MSN CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:860 FIRST AVE STE 4B
Mailing Address - Street 2:
Mailing Address - City:KING OF PRUSSIA
Mailing Address - State:PA
Mailing Address - Zip Code:19406-4033
Mailing Address - Country:US
Mailing Address - Phone:610-265-1251
Mailing Address - Fax:610-265-1252
Practice Address - Street 1:860 FIRST AVE STE 4B
Practice Address - Street 2:
Practice Address - City:KING OF PRUSSIA
Practice Address - State:PA
Practice Address - Zip Code:19406-4033
Practice Address - Country:US
Practice Address - Phone:610-265-1251
Practice Address - Fax:610-265-1252
Is Sole Proprietor?:No
Enumeration Date:2006-04-18
Last Update Date:2017-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP007180363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA084772Medicare ID - Type Unspecified
Q27249Medicare UPIN