Provider Demographics
NPI:1053136721
Name:SALAMI, ABIEYUWA SARAH (DNP, PMHNP-BC)
Entity type:Individual
Prefix:MS
First Name:ABIEYUWA
Middle Name:SARAH
Last Name:SALAMI
Suffix:
Gender:F
Credentials:DNP, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:560 W BROWN RD STE 1004
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85201-3222
Mailing Address - Country:US
Mailing Address - Phone:281-576-8345
Mailing Address - Fax:564-524-5618
Practice Address - Street 1:560 W BROWN RD STE 1004
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85201-3222
Practice Address - Country:US
Practice Address - Phone:281-576-8345
Practice Address - Fax:564-524-5618
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-18
Last Update Date:2025-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95032373363LP0808X
TX1076553363LP0808X
AZ326549363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health