Provider Demographics
NPI:1962638247
Name:SALUD FOR WOMEN, PLLC
Entity Type:Organization
Organization Name:SALUD FOR WOMEN, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:CHRISTINE
Authorized Official - Last Name:SEALS
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:480-384-0380
Mailing Address - Street 1:303 E GURLEY ST # 488
Mailing Address - Street 2:
Mailing Address - City:PRESCOTT
Mailing Address - State:AZ
Mailing Address - Zip Code:86301-3804
Mailing Address - Country:US
Mailing Address - Phone:480-384-0380
Mailing Address - Fax:844-220-7597
Practice Address - Street 1:550 E COTTONWOOD LN STE A
Practice Address - Street 2:
Practice Address - City:CASA GRANDE
Practice Address - State:AZ
Practice Address - Zip Code:85122-2055
Practice Address - Country:US
Practice Address - Phone:480-384-0380
Practice Address - Fax:480-656-9237
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-01
Last Update Date:2021-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN093886363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's HealthGroup - Single Specialty