Individual
SHARON L SLAYTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
2620 N. WESTWOOD BLVD, POPLAR BLUFF, MO 63901-1908
(573) 727-2640
(573) 727-2408
Mailing address
4921 PARKVIEW PL, SUITE 14C, SAINT LOUIS, MO 63110-1032
(314) 290-7501
(314) 290-7575
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
149476
MO
363LA2200X
Adult Health Nurse Practitioner
2007005995
MO
Other
Enumeration date
09/25/2007
Last updated
11/11/2019
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