Individual
MS. ALICEMARIE F. SLAVEN-EMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1025 MAIN STREET, DELTA, CO 81416
(970) 964-7740
(970) 874-6330
Mailing address
1025 MAIN STREET, DELTA, CO 81416
(970) 964-7740
(970) 874-6330
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
C-APN.0994367-C-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
268890YUZG
MEDICARE B FOR DELTA HEALTH & WELLNESS CENTER
CO
01
—
268890ZS0N
MEDICARE B FOR NORTH FORK MEDICAL CLINIC
CO
05
—
59806028
—
CO
05
—
G1682
—
NM
01
—
R26648
NM STATE RN LICENSURE #
NM
Enumeration date
07/07/2005
Last updated
10/01/2024
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