Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Mary Clarissa R Salvaggio, NP

Individual provider Nurse Practitioner · NPI 1053032698

Mrs. Mary Clarissa R Salvaggio, NP is a Nurse Practitioner in Hazel Park, Michigan. Qualified in 2022, 4 years ago. Practices with Independent Emergency Physicians PC, a 157-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
4
Licensed in
MI
In the registry since
2022
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

24013 Vance Ave
Hazel Park, MI 48030-1218
Phone: (248) 860-1754
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 4704289245 (MI)
Licensed Practical Nurse Taxonomy 164W00000X · Licence 4704289245 (MI)

Record details

NPI number1053032698
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedSeptember 12, 2022
Last updated in NPPESOctober 6, 2022
Certification dateOctober 6, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Independent Emergency Physicians Pc — 157 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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