| Doctor Name: | THERESA A DANSCUK-SLOAN |
| NPI Number: | 1043288491 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | WHNP |
| License Number: | 094006381N7 |
| Business Practice Address: | One Boone Road Bremerton, WA - 98312 |
| Business Phone Number: | 3604754426 |
| Business Fax Number: | 3604754344 |
| Mailing Address: | P.o. Box 2, VICTOR |
| State: | MT |
| Postal Code: | 59875 |
| Phone Number: | 3606210725 |
| Fax Number: | 3604754344 |
| NPI Enumeration Date: | 03/10/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LW0102X |
| License Number: | 094006381N7 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | OR |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Women's Health |
| Taxonomy Definition: | |