Omnia Salem

Pediatric Nurse Practitioner · Berkeley, MO

Individual Active NPI

NPI number 1528440807

Practice location

6121 N Hanley Rd
Berkeley, MO 63134-2003
Phone
(314) 615-0877

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NPI record

NPI
1528440807
Entity type
Individual (Type 1)
Enumeration date
June 23, 2015
Last updated
June 23, 2015
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatric Nurse Practitioner Primary 363LP0200X 2015006765 MO

Mailing address

450 Chukker VLY
Ellisville, MO 63021-2043

About Omnia Salem

Omnia Salem is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatric Nurse Practitioner (code 363LP0200X). The practice location is 6121 N Hanley Rd, Berkeley, MO 63134-2003. The NPI number 1528440807 was assigned on June 23, 2015 and the record was last updated on June 23, 2015.

Omnia Salem lists a license in the registry: #2015006765 (MO) for Pediatric Nurse Practitioner. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Omnia Salem?

The NPI number is 1528440807.

What is the phone number of Omnia Salem?

The phone number listed for the practice location is (314) 615-0877.

Where is Omnia Salem located?

6121 N Hanley Rd, Berkeley, MO 63134-2003.

What is the taxonomy code for Omnia Salem?

The primary taxonomy code is 363LP0200X – Pediatric Nurse Practitioner.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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