Provider Demographics
NPI:1700320595
Name:SALISBURY, KATHRYN STAR (AG-ACNP)
Entity Type:Individual
Prefix:MRS
First Name:KATHRYN
Middle Name:STAR
Last Name:SALISBURY
Suffix:
Gender:F
Credentials:AG-ACNP
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:2800 BLUE RIDGE RD
Mailing Address - Street 2:SUITE 400
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27607-6478
Mailing Address - Country:US
Mailing Address - Phone:919-787-5380
Mailing Address - Fax:919-787-3415
Practice Address - Street 1:2800 BLUE RIDGE RD
Practice Address - Street 2:SUITE 400
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27607-6478
Practice Address - Country:US
Practice Address - Phone:919-787-5380
Practice Address - Fax:919-787-3415
Is Sole Proprietor?:No
Enumeration Date:2016-12-13
Last Update Date:2023-06-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC5009167363L00000X, 363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner