Provider Demographics
NPI:1215139142
Name:SALONEY, THERESA YVONNE (CRNP)
Entity type:Individual
Prefix:MS
First Name:THERESA
Middle Name:YVONNE
Last Name:SALONEY
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:THERESA
Other - Middle Name:YVONNE
Other - Last Name:WALSH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP
Mailing Address - Street 1:350 SHEETZ WAY
Mailing Address - Street 2:
Mailing Address - City:CLAYSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:16625
Mailing Address - Country:US
Mailing Address - Phone:814-239-1516
Mailing Address - Fax:814-204-0706
Practice Address - Street 1:350 SHEETZ WAY
Practice Address - Street 2:
Practice Address - City:CLAYSBURG
Practice Address - State:PA
Practice Address - Zip Code:16625
Practice Address - Country:US
Practice Address - Phone:814-239-1516
Practice Address - Fax:814-204-0706
Is Sole Proprietor?:No
Enumeration Date:2007-06-04
Last Update Date:2013-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP009126363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily