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Salina N Nordstrom

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

PECOS Enrollment

This provider is enrolled in PECOS as SALINA NORDSTROM.

Based on the most recent information from CMS, provider Salina N Nordstrom is legally eligible to order and refer claims for DME and PMD services only.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 6 days ago.

Profile Details

Provider ID
1720256571
Provider Type
Individual
Full Name
Nordstrom, Salina N
Title
Mrs.
Credential
FNP

Gender
Female
Sole Proprietor
Yes
Enumeration Date
2/14/2008
Last Updated
2/14/2008

Contact Information

Practice Location

10 Woods Rd, Valhalla, NY 10595-1529

(914) 493-8717

Unlisted Fax

Mailing Location

11 Pine Ave, Congers, NY 10920-1827

(914) 450-3580

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 333698 New York

Salina N Nordstrom

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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