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Individual

SHELLI RENAE SLAUGHTER

Active
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Individual

SHELLI RENAE SLAUGHTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
155924
MO
164W00000X
Licensed Practical Nurse
052050
MO
363LF0000X
Family Nurse Practitioner
Primary
2018035969
MO

Other

Enumeration date
09/28/2018
Last updated
11/19/2018
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