Provider Demographics
NPI:1821706870
Name:SALVATORE, ERICA E (CD,CLC)
Entity Type:Individual
Prefix:
First Name:ERICA
Middle Name:E
Last Name:SALVATORE
Suffix:
Gender:F
Credentials:CD,CLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 HOMELAND AVE
Mailing Address - Street 2:
Mailing Address - City:NARRAGANSETT
Mailing Address - State:RI
Mailing Address - Zip Code:02882-3253
Mailing Address - Country:US
Mailing Address - Phone:401-575-6127
Mailing Address - Fax:
Practice Address - Street 1:14 HOMELAND AVE
Practice Address - Street 2:
Practice Address - City:NARRAGANSETT
Practice Address - State:RI
Practice Address - Zip Code:02882-3253
Practice Address - Country:US
Practice Address - Phone:401-575-6127
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-08
Last Update Date:2022-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI374J00000X
RI201413374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty