| Doctor Name: | MIRIAM COLLEEN SLAUGH |
| NPI Number: | 1003110446 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN |
| License Number: | 53-75302-112 |
| Business Practice Address: | 330 Arkansas Suite 120 Lawrence, KS - 66044 |
| Business Phone Number: | 7858416540 |
| Business Fax Number: | |
| Mailing Address: | 330 Arkansas St, Suite 120 LAWRENCE |
| State: | KS |
| Postal Code: | 660441335 |
| Phone Number: | 7857493600 |
| Fax Number: | 7857493621 |
| NPI Enumeration Date: | 12/28/2010 |
| NPI Last Update Date: | 04/28/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 53-75302-112 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KS |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |