Individual
MRS. KIRSTEN CLARKE SLAGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.P.N.P.
Contact information
Practice address
400 SOUTHPARK BLVD, SUITE D, COLONIAL HEIGHTS, VA 23834-2974
(804) 520-8135
(804) 520-8092
Mailing address
400 SOUTHPARK BLVD, SUITE D, COLONIAL HEIGHTS, VA 23834-2974
(804) 520-8135
(804) 520-8092
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
0024167696
VA
Other
Enumeration date
05/21/2008
Last updated
05/21/2008
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