Individual
MRS. ANDRIA ELIZABETH SLATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
660 CORNELL AVE, EAST LANSING, MI 48823-3609
(760) 805-1334
Mailing address
660 CORNELL AVE, EAST LANSING, MI 48823-3609
(760) 805-1334
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704295810
MI
363LF0000X
Family Nurse Practitioner
95000229
CA
Other
Enumeration date
03/06/2014
Last updated
03/06/2014
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