Individual
SUZANNA LOUISE SLATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP, MSN, RN
Contact information
Practice address
456 E VICTORIA PL, SALT LAKE CITY, UT 84103-3157
(203) 640-4429
Mailing address
456 E VICTORIA PL, SALT LAKE CITY, UT 84103-3157
(203) 640-4429
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
14187712-4405
UT
Other
Enumeration date
02/25/2025
Last updated
02/25/2025
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