Provider Demographics
NPI:1518672104
Name:SALEET, NICHOLAS R (PA-C)
Entity type:Individual
Prefix:
First Name:NICHOLAS
Middle Name:R
Last Name:SALEET
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Gender:M
Credentials:PA-C
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Mailing Address - Street 1:77 NEALY AVE
Mailing Address - Street 2:
Mailing Address - City:LANGLEY AFB
Mailing Address - State:VA
Mailing Address - Zip Code:23665-2040
Mailing Address - Country:US
Mailing Address - Phone:757-225-3619
Mailing Address - Fax:757-764-6884
Practice Address - Street 1:77 NEALY AVE
Practice Address - Street 2:
Practice Address - City:LANGLEY AFB
Practice Address - State:VA
Practice Address - Zip Code:23665-2040
Practice Address - Country:US
Practice Address - Phone:757-225-3619
Practice Address - Fax:757-764-6884
Is Sole Proprietor?:No
Enumeration Date:2023-01-18
Last Update Date:2024-11-19
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant