Individual
MS. TRACY L F SLATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
3003 UNIVERSITY DR, MARINETTE, WI 54143-4110
(715) 735-4200
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(715) 735-4200
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
142693-030
WI
363L00000X
Nurse Practitioner
Primary
2176-033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43986400
—
WI
Enumeration date
08/24/2006
Last updated
12/27/2023
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