Provider Demographics
NPI:1952063109
Name:SALERY, MARCEL (FNP-C)
Entity Type:Individual
Prefix:
First Name:MARCEL
Middle Name:
Last Name:SALERY
Suffix:
Gender:M
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2338 RICHERT AVE
Mailing Address - Street 2:
Mailing Address - City:CLOVIS
Mailing Address - State:CA
Mailing Address - Zip Code:93611-3919
Mailing Address - Country:US
Mailing Address - Phone:559-708-7191
Mailing Address - Fax:
Practice Address - Street 1:2338 RICHERT AVE
Practice Address - Street 2:
Practice Address - City:CLOVIS
Practice Address - State:CA
Practice Address - Zip Code:93611-3919
Practice Address - Country:US
Practice Address - Phone:559-708-7191
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-05
Last Update Date:2021-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95016054208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice