Individual
ROBIN SLACK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RN, CNP
Contact information
Practice address
6545 FRANCE AVE S, SUITE 600, EDINA, MN 55435-2131
(952) 920-2200
(952) 920-0866
Mailing address
6545 FRANCE AVE S, SUITE 600, EDINA, MN 55435-2131
(952) 920-2200
(952) 920-0866
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
R076651
MN
Other
Enumeration date
11/21/2005
Last updated
07/08/2007
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