Provider Demographics
NPI:1811792245
Name:SALAS, ANDREANA
Entity type:Individual
Prefix:
First Name:ANDREANA
Middle Name:
Last Name:SALAS
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:ANDREANA
Other - Middle Name:
Other - Last Name:SALAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSN, RN, CNOR
Mailing Address - Street 1:25140 E MAPLE PL
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80018-4638
Mailing Address - Country:US
Mailing Address - Phone:720-240-3342
Mailing Address - Fax:
Practice Address - Street 1:25140 E MAPLE PL
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80018-4638
Practice Address - Country:US
Practice Address - Phone:720-240-3342
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-18
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0203766163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse