Provider Demographics
NPI:1821422601
Name:SALSABIL, YASER (CRNA)
Entity Type:Individual
Prefix:MR
First Name:YASER
Middle Name:
Last Name:SALSABIL
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2979 W SCHOOL HOUSE LN
Mailing Address - Street 2:APT K806A
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19144-5401
Mailing Address - Country:US
Mailing Address - Phone:304-552-4783
Mailing Address - Fax:
Practice Address - Street 1:2979 W SCHOOL HOUSE LN
Practice Address - Street 2:APT K806A
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19144-5401
Practice Address - Country:US
Practice Address - Phone:304-552-4783
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-28
Last Update Date:2013-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN623718367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered