Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | 1-112750 | AL |
NPI | 1043674252 |
---|---|
Provider Name | Summer Paige Slater |
First Address | Huntsville, AL 35801-6436 |
Second Address | Huntsville, AL 35801-6436 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/04/2016 |
Last Update Date | 23/10/2019 |