Doctor Name: | OCTAVIA T SLEVINSKI |
NPI Number: | 1013040682 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | 803472 |
Business Practice Address: | 5151 N 9th Ave Pensacola, FL - 325048721 |
Business Phone Number: | 8504167000 |
Business Fax Number: | |
Mailing Address: | 4580 Francisco, PENSACOLA |
State: | FL |
Postal Code: | 325049029 |
Phone Number: | 8504383827 |
Fax Number: | |
NPI Enumeration Date: | 03/13/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | 803472 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |