Individual
SALLY MELISSA SLUDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
351 SW 9TH AVE, ONTARIO, OR 97914
(541) 881-7423
(541) 881-2323
Mailing address
2525 E CAMELBACK RD, SUITE 1100, PHOENIX, AZ 85016-4219
(602) 778-3601
(602) 445-9390
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
201502432NP-PP
OR
363LA2100X
Acute Care Nurse Practitioner
AP126760
TX
Other
Enumeration date
11/25/2014
Last updated
10/28/2015
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