Provider Demographics
NPI:1487397394
Name:BLANCO, ARLENE SALAZAR (APRN,FNP-BC, FNP-C)
Entity type:Individual
Prefix:
First Name:ARLENE
Middle Name:SALAZAR
Last Name:BLANCO
Suffix:
Gender:F
Credentials:APRN,FNP-BC, FNP-C
Other - Prefix:
Other - First Name:ARLENE
Other - Middle Name:DOMINGUEZ
Other - Last Name:SALAZAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6070 S FORT APACHE RD STE 100
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89148-5615
Mailing Address - Country:US
Mailing Address - Phone:702-803-5534
Mailing Address - Fax:702-805-6089
Practice Address - Street 1:6070 S FORT APACHE RD STE 100
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89148-5615
Practice Address - Country:US
Practice Address - Phone:702-803-5534
Practice Address - Fax:702-805-6089
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-18
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV853172363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily