Doctor Name: | EMILY E SLATER |
NPI Number: | 1023471034 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 0024173409 |
Business Practice Address: | 10150 Staples Mill Rd Suite A Glen Allen, VA - 230603452 |
Business Phone Number: | 8048938627 |
Business Fax Number: | 8046735497 |
Mailing Address: | 10150 Staples Mill Rd, Suite A GLEN ALLEN |
State: | VA |
Postal Code: | 230603452 |
Phone Number: | 8048938627 |
Fax Number: | 8046735497 |
NPI Enumeration Date: | 03/29/2016 |
NPI Last Update Date: | 03/29/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 0024173409 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |