Doctor Name: | MS. ELAINE MARIE SLEAR |
NPI Number: | 1467766246 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNP-A |
License Number: | 0047878-21 |
Business Practice Address: | 705 Digital Dr Ste G Linthicum, MD - 210902267 |
Business Phone Number: | 4106363060 |
Business Fax Number: | |
Mailing Address: | 2003 W Fulton St, CHICAGO |
State: | IL |
Postal Code: | 606122345 |
Phone Number: | 1773292480 |
Fax Number: | |
NPI Enumeration Date: | 08/04/2010 |
NPI Last Update Date: | 08/04/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 0047878-21 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |