Provider Demographics
NPI:1760880694
Name:SALARI, ANDREA AGOSTINELLI (CRNA)
Entity Type:Individual
Prefix:
First Name:ANDREA
Middle Name:AGOSTINELLI
Last Name:SALARI
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:ANDREA
Other - Middle Name:
Other - Last Name:AGOSTINELLI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNA
Mailing Address - Street 1:7700 W SUNRISE BLVD
Mailing Address - Street 2:2ND FL - MAILSTOP PL-14
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33322-4113
Mailing Address - Country:US
Mailing Address - Phone:954-939-2371
Mailing Address - Fax:954-851-1746
Practice Address - Street 1:300 PINELLAS ST
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33756-3804
Practice Address - Country:US
Practice Address - Phone:727-462-7308
Practice Address - Fax:954-616-3655
Is Sole Proprietor?:No
Enumeration Date:2014-12-09
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9285665163W00000X
FLARNP9285665367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse