Provider Demographics
NPI:1144473505
Name:SALMERON, PATRICIA ANN (DNP, APRN, PMHNP-BC)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:ANN
Last Name:SALMERON
Suffix:
Gender:F
Credentials:DNP, APRN, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:141 PARKER ST STE 306
Mailing Address - Street 2:
Mailing Address - City:MAYNARD
Mailing Address - State:MA
Mailing Address - Zip Code:01754-2180
Mailing Address - Country:US
Mailing Address - Phone:866-991-2103
Mailing Address - Fax:888-971-4182
Practice Address - Street 1:15129 MADEIRA WAY
Practice Address - Street 2:
Practice Address - City:MADEIRA BEACH
Practice Address - State:FL
Practice Address - Zip Code:33708-2208
Practice Address - Country:US
Practice Address - Phone:727-397-5535
Practice Address - Fax:727-398-1049
Is Sole Proprietor?:No
Enumeration Date:2008-10-29
Last Update Date:2023-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP2667642363LF0000X
FL2667642363LP0808X
FLPA 2660363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant