Provider Demographics
NPI:1740572098
Name:SALGADO, ROXANNE NAYANDA (BSN, RN)
Entity Type:Individual
Prefix:
First Name:ROXANNE
Middle Name:NAYANDA
Last Name:SALGADO
Suffix:
Gender:F
Credentials:BSN, RN
Other - Prefix:MRS
Other - First Name:ROXANNE
Other - Middle Name:N
Other - Last Name:SALGADO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:BSN, RN
Mailing Address - Street 1:3214 YATES AVE
Mailing Address - Street 2:SUITE 3
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10469-5015
Mailing Address - Country:US
Mailing Address - Phone:347-932-8926
Mailing Address - Fax:
Practice Address - Street 1:3214 YATES AVE
Practice Address - Street 2:SUITE 3
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10469-5015
Practice Address - Country:US
Practice Address - Phone:347-932-8926
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-04
Last Update Date:2011-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY642637163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse