Individual
SUSAN SLOAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
312 JASON DR STE 9, RICHMOND, KY 40475-2785
(859) 626-9696
Mailing address
312 JASON DR STE 9, RICHMOND, KY 40475-2785
(859) 626-9696
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1055022
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
KY
Enumeration date
05/21/2015
Last updated
05/21/2015
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