Provider Demographics
NPI:1639669609
Name:SALDEEN, SUE ANN CAMASO
Entity Type:Individual
Prefix:
First Name:SUE ANN
Middle Name:CAMASO
Last Name:SALDEEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5527 EASTBOURNE DR
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:22151-1606
Mailing Address - Country:US
Mailing Address - Phone:813-766-8183
Mailing Address - Fax:
Practice Address - Street 1:5527 EASTBOURNE DR
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:VA
Practice Address - Zip Code:22151-1606
Practice Address - Country:US
Practice Address - Phone:813-766-8183
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-15
Last Update Date:2018-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCRN1044452163WC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine