Provider Demographics
NPI:1487141024
Name:SALIM, MARIAH CLAIRE (APRN)
Entity type:Individual
Prefix:
First Name:MARIAH
Middle Name:CLAIRE
Last Name:SALIM
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:MARIAH
Other - Middle Name:CLAIRE
Other - Last Name:SIEBEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1851 RIVER VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:38138-3004
Mailing Address - Country:US
Mailing Address - Phone:901-246-2189
Mailing Address - Fax:
Practice Address - Street 1:3320 BROTHER BLVD
Practice Address - Street 2:
Practice Address - City:BARTLETT
Practice Address - State:TN
Practice Address - Zip Code:38133-8950
Practice Address - Country:US
Practice Address - Phone:901-251-5000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-19
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNRN214203163W00000X
TN38391363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse