| Doctor Name: | CONNIE MARIE SLAUGHTER |
| NPI Number: | 1104141928 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | 3006421 |
| Business Practice Address: | 1 Medical Village Dr Edgewood, KY - 410173403 |
| Business Phone Number: | 8595723617 |
| Business Fax Number: | 8595722326 |
| Mailing Address: | Po Box 18667, ERLANGER |
| State: | KY |
| Postal Code: | 410180667 |
| Phone Number: | 8595723617 |
| Fax Number: | 8595722326 |
| NPI Enumeration Date: | 04/05/2010 |
| NPI Last Update Date: | 07/30/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 3006421 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | KY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |