Individual
MS. TAMMY MICHELLE SLATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
600 N WOLFE ST, BLALOCK 618, BALTIMORE, MD 21287-0005
(410) 955-4826
Mailing address
339 PONFIELD RD E, FOREST HILL, MD 21050-2537
(410) 803-1557
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
R117061
MD
Other
Enumeration date
02/13/2007
Last updated
07/08/2007
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