Individual
ELIZABETH SLATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
5175 MORSE RD, STE 300, GAHANNA, OH 43230-3458
(614) 476-4101
(614) 476-4101
Mailing address
5175 MORSE RD, STE 300, GAHANNA, OH 43230-3458
(614) 476-4101
(614) 476-4101
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.13635
OH
363L00000X
Nurse Practitioner
Primary
318633
OH
Other
Enumeration date
09/12/2012
Last updated
05/03/2021
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