Provider Demographics
NPI:1831960236
Name:SALTER, ANNALISA KRISTINA (DNP-FNP)
Entity type:Individual
Prefix:DR
First Name:ANNALISA
Middle Name:KRISTINA
Last Name:SALTER
Suffix:
Gender:F
Credentials:DNP-FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1145 MARCUSSEN DR
Mailing Address - Street 2:
Mailing Address - City:MENLO PARK
Mailing Address - State:CA
Mailing Address - Zip Code:94025-3412
Mailing Address - Country:US
Mailing Address - Phone:425-530-6100
Mailing Address - Fax:
Practice Address - Street 1:1145 MARCUSSEN DR
Practice Address - Street 2:
Practice Address - City:MENLO PARK
Practice Address - State:CA
Practice Address - Zip Code:94025-3412
Practice Address - Country:US
Practice Address - Phone:425-530-6100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-15
Last Update Date:2024-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA95329656163WC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine