Individual
MEREDITH SLAYTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7250 CLEARVISTA DR STE 355, INDIANAPOLIS, IN 46256-5609
(317) 621-5676
Mailing address
6626 E 75TH ST, SUITE 500, INDIANAPOLIS, IN 46250-2805
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
10001405A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01192138
RR MEDICARE PTAN
IN
Enumeration date
05/03/2012
Last updated
04/02/2018
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