Individual
REBEKAH S SLOCUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1101 1ST ST SW, ROANOKE, VA 24016-4701
(540) 342-7680
(540) 342-7683
Mailing address
1101 1ST ST SW, ROANOKE, VA 24016-4701
(540) 342-7680
(540) 342-7683
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
0024167406
VA
363LP0200X
Pediatric Nurse Practitioner
7799-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000370805
ANTHEM
OH
05
—
2573315
—
OH
Enumeration date
07/21/2006
Last updated
05/12/2008
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