Provider Demographics
NPI:1528776374
Name:SALKELD, KRISTA ROSE (MSN, RN, NC-BC)
Entity type:Individual
Prefix:MRS
First Name:KRISTA
Middle Name:ROSE
Last Name:SALKELD
Suffix:
Gender:F
Credentials:MSN, RN, NC-BC
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27540 SUNNY CREEK DR
Mailing Address - Street 2:
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91354-1897
Mailing Address - Country:US
Mailing Address - Phone:661-755-7066
Mailing Address - Fax:
Practice Address - Street 1:27540 SUNNY CREEK DR
Practice Address - Street 2:
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91354-1897
Practice Address - Country:US
Practice Address - Phone:661-755-7066
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-10
Last Update Date:2022-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA790080163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA790080OtherSTATE OF CALIFORNIA BOARD OF REGISTERED NURSING
CA19147H5OtherAMERICAN HOLISTIC NURSES CREDENTIALING CORPORATION