Provider Demographics
NPI:1891423745
Name:SALIM, FELITA (FNP)
Entity Type:Individual
Prefix:
First Name:FELITA
Middle Name:
Last Name:SALIM
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 W 37TH ST APT 1509
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10018-7298
Mailing Address - Country:US
Mailing Address - Phone:626-500-5404
Mailing Address - Fax:
Practice Address - Street 1:70 W 37TH ST APT 1509
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10018-7298
Practice Address - Country:US
Practice Address - Phone:626-500-5404
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-09
Last Update Date:2022-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY350078363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily