Provider Demographics
NPI:1750905030
Name:SALCEDO, MAUREEN ALEXANDRA (RN, BSN, MSN, APRN)
Entity type:Individual
Prefix:
First Name:MAUREEN
Middle Name:ALEXANDRA
Last Name:SALCEDO
Suffix:
Gender:F
Credentials:RN, BSN, MSN, APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1050 BEECHER XING N STE C
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43230-4567
Mailing Address - Country:US
Mailing Address - Phone:614-939-0841
Mailing Address - Fax:
Practice Address - Street 1:1050 BEECHER XING N STE C
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43230-4567
Practice Address - Country:US
Practice Address - Phone:614-939-0841
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-03
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0026734363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner