Individual
MICHELLE SLAGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10811 N GASBURG RD, MOORESVILLE, IN 46158-6759
(317) 601-1549
Mailing address
10811 N GASBURG RD, MOORESVILLE, IN 46158-6759
(317) 601-1549
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
Primary
28150501A
IN
Other
Enumeration date
06/09/2021
Last updated
06/09/2021
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