IndividualActive
Omnia Salem
NPI 1528440807 · Pediatric Nurse Practitioner · Berkeley, MO
Provider details
- NPI number
- 1528440807
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 2015006765 (MO)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
6121 N Hanley Rd
Berkeley, MO 63134-2003
Phone: (314) 615-0877
Approximate (ZIP-level) locationGet directions
Mailing address
450 Chukker Vly
Ellisville, MO 63021-2043
Registry dates
- Enumerated
- 2015-06-23
- Last updated
- 2015-06-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.