Individual
FAITH SLADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
510 S 4TH ST STE 600, FULTON, NY 13069-2904
(315) 598-4790
Mailing address
61 DELANO ST, PULASKI, NY 13142-1400
(315) 298-6569
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
344906
NY
Other
Enumeration date
08/05/2019
Last updated
08/05/2019
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