Doctor Name: | TRACI SLAUGHTER |
NPI Number: | 1043221070 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP/C |
License Number: | RN107276 |
Business Practice Address: | 7920 Sam Furr Rd Huntersville, NC - 280788911 |
Business Phone Number: | 7048963671 |
Business Fax Number: | |
Mailing Address: | 4315 Cadmium Dr, CUMMING |
State: | GA |
Postal Code: | 300408890 |
Phone Number: | 6783416983 |
Fax Number: | |
NPI Enumeration Date: | 08/11/2006 |
NPI Last Update Date: | 10/29/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | RN107276 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | GA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |