Provider Demographics
NPI:1285330480
Name:SALINAS, ANNALYSA MARIE (WHNP, CNM)
Entity type:Individual
Prefix:
First Name:ANNALYSA
Middle Name:MARIE
Last Name:SALINAS
Suffix:
Gender:F
Credentials:WHNP, CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1703 N LOOP 1604 W APT 6204
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-4694
Mailing Address - Country:US
Mailing Address - Phone:210-389-2739
Mailing Address - Fax:
Practice Address - Street 1:1703 N LOOP 1604 W APT 6204
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-4694
Practice Address - Country:US
Practice Address - Phone:210-389-2739
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-31
Last Update Date:2023-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1074359363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX35563754OtherDRIVERS LICENSE