Provider Demographics
NPI:1992383855
Name:SALERNO, RACHEL (CD (CBI))
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:SALERNO
Suffix:
Gender:F
Credentials:CD (CBI)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4428 QUAIL HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76133-6736
Mailing Address - Country:US
Mailing Address - Phone:682-227-4379
Mailing Address - Fax:
Practice Address - Street 1:4428 QUAIL HOLLOW RD
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76133-6736
Practice Address - Country:US
Practice Address - Phone:682-227-4379
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-31
Last Update Date:2021-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty