Individual
CAROL ANN SLAZINIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
8634 BLACKJACK HOLLOW LN, TROY, IL 62294
(186) 789-0766
Mailing address
8634 BLACKJACK HOLLOWS LN, TROY, IL 62294-2550
(618) 789-0766
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2005023282
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1194056093
NPI
—
Enumeration date
01/18/2010
Last updated
08/13/2018
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