Individual
PATRICIA E SLOTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
100 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2560
(616) 391-1774
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
(616) 486-6772
(616) 486-6702
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
4704170121
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704170121
STATE LICENSE
MI
Enumeration date
12/14/2006
Last updated
10/06/2009
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