Individual
CRYSTAL DAWN SLAUGHTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
221 NE GLEN OAK AVE, PEORIA, IL 61636-0001
(309) 672-5522
Mailing address
221 NE GLEN OAK AVE, PEORIA, IL 61636-0001
(309) 672-5522
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209007934
IL
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
209007934
IL
Other
Enumeration date
12/08/2009
Last updated
10/23/2024
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