Individual
MAKENA SLATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
6162 S WILLOW DR STE 100, GREENWOOD VILLAGE, CO 80111-5113
(720) 200-1624
(720) 200-1697
Mailing address
6162 S WILLOW DR STE 100, GREENWOOD VILLAGE, CO 80111-5113
(720) 200-1624
(720) 200-1697
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
1623039
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
25420577
—
CO
Enumeration date
10/14/2013
Last updated
12/11/2014
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