Provider Demographics
NPI:1497573935
Name:SALEH, SARAH MARIE NABIL (NP)
Entity type:Individual
Prefix:
First Name:SARAH MARIE
Middle Name:NABIL
Last Name:SALEH
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29 S 6TH ST
Mailing Address - Street 2:
Mailing Address - City:REDLANDS
Mailing Address - State:CA
Mailing Address - Zip Code:92373-5210
Mailing Address - Country:US
Mailing Address - Phone:909-735-1041
Mailing Address - Fax:
Practice Address - Street 1:29 S 6TH ST
Practice Address - Street 2:
Practice Address - City:REDLANDS
Practice Address - State:CA
Practice Address - Zip Code:92373-5210
Practice Address - Country:US
Practice Address - Phone:909-735-1041
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-02
Last Update Date:2024-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95032081363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily