Basic Information
Provider Information
NPI: 1245950872
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SALSGIVER
FirstName: AMELIA
MiddleName: HARPER
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 57 SAWYER HILL RD
Address2:  
City: CANAAN
State: NH
PostalCode: 037417462
CountryCode: US
TelephoneNumber: 8025583652
FaxNumber:  
Practice Location
Address1: 424 E 34TH ST
Address2:  
City: NEW YORK
State: NY
PostalCode: 100164901
CountryCode: US
TelephoneNumber: 2122637300
FaxNumber:  
Other Information
ProviderEnumerationDate: 09/01/2022
LastUpdateDate: 09/01/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/01/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163W00000X089295-21NHN Nursing Service ProvidersRegistered Nurse 
163W00000X734108NYY Nursing Service ProvidersRegistered Nurse 

No ID Information.


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