Basic Information
Provider Information
NPI: 1124009907
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SALISBURY
FirstName: DENISE
MiddleName: ANNE
NamePrefix:  
NameSuffix:  
Credential: ARNP, CNM
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 411 OAK ST
Address2: STERLING MEDICAL ASSOCIATES, ATTN: CREDENTIALS
City: CINCINNATI
State: OH
PostalCode: 452192598
CountryCode: US
TelephoneNumber: 5139841800
FaxNumber: 5139844909
Practice Location
Address1: 411 OAK ST
Address2: STERLING MEDICAL ASSOCIATES, ATTN: CREDENTIALS
City: CINCINNATI
State: OH
PostalCode: 452192598
CountryCode: US
TelephoneNumber: 5139841800
FaxNumber: 5139844909
Other Information
ProviderEnumerationDate: 11/09/2005
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: X
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LX0001XAP30005861WAY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology

No ID Information.


Home