Provider Demographics
NPI:1699029553
Name:SALGADO, HEIDI CASCO (LVN)
Entity Type:Individual
Prefix:
First Name:HEIDI
Middle Name:CASCO
Last Name:SALGADO
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:248 MORTON DR
Mailing Address - Street 2:
Mailing Address - City:DALY CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94015-4444
Mailing Address - Country:US
Mailing Address - Phone:415-694-2439
Mailing Address - Fax:
Practice Address - Street 1:248 MORTON DR
Practice Address - Street 2:
Practice Address - City:DALY CITY
Practice Address - State:CA
Practice Address - Zip Code:94015-4444
Practice Address - Country:US
Practice Address - Phone:415-694-2439
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-30
Last Update Date:2013-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA238579164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse