Provider Demographics
NPI:1144811670
Name:SALAS, ARIANA (CRNP)
Entity type:Individual
Prefix:
First Name:ARIANA
Middle Name:
Last Name:SALAS
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:ARIANA
Other - Middle Name:
Other - Last Name:VELEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP
Mailing Address - Street 1:15 PUBLIC SQ STE 600
Mailing Address - Street 2:
Mailing Address - City:WILKES BARRE
Mailing Address - State:PA
Mailing Address - Zip Code:18701-1700
Mailing Address - Country:US
Mailing Address - Phone:157-082-6177
Mailing Address - Fax:570-823-3040
Practice Address - Street 1:15 PUBLIC SQ STE 600
Practice Address - Street 2:
Practice Address - City:WILKES BARRE
Practice Address - State:PA
Practice Address - Zip Code:18701-1700
Practice Address - Country:US
Practice Address - Phone:157-082-6177
Practice Address - Fax:570-823-3040
Is Sole Proprietor?:No
Enumeration Date:2021-01-28
Last Update Date:2024-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN731081163W00000X
PASP029099363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse