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Individual

MS. KRISTEN LYNNE SLABAUGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
775 S ARLINGTON AVE, HARRISBURG, PA 17109-5002
(717) 782-5905
(717) 782-5908
Mailing address
409 S 2ND ST, SUITE 2F, HARRISBURG, PA 17104-1612

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
SP011062
PA
363LF0000X
Family Nurse Practitioner
Primary
SP011062
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
103015734
PA
Enumeration date
06/21/2012
Last updated
12/12/2020
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