Individual
EMILY E SLATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
10150 STAPLES MILL RD, SUITE A, GLEN ALLEN, VA 23060-3452
(804) 893-8627
(804) 673-5497
Mailing address
10150 STAPLES MILL RD, SUITE A, GLEN ALLEN, VA 23060-3452
(804) 893-8627
(804) 673-5497
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024173409
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C06778
GROUP PTAN
VA
Enumeration date
03/29/2016
Last updated
03/29/2016
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