Individual
CASEY LAUREN SLANINABROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
6404 ROOSEVELT BLVD, SUITE 1B, PHILADELPHIA, PA 19149-2943
(215) 533-0762
(215) 533-0928
Mailing address
6404 ROOSEVELT BLVD, SUITE 1B, PHILADELPHIA, PA 19149-2943
(215) 533-0762
(215) 533-0928
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
26NR14587700
NJ
163WP0200X
Pediatric Registered Nurse
RN557048
PA
363LP0200X
Pediatric Nurse Practitioner
Primary
SP011069
PA
Other
Enumeration date
07/14/2010
Last updated
11/15/2010
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