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NPI Code Detail

MEDICARE: DR. AGNES WANE-SLORY DNP, FNP-BC

MEDICARE: DR. AGNES WANE-SLORY DNP, FNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerSP010871PA
2363LF0000XFamily Nurse Practitioner357385NY
3363LF0000XFamily Nurse Practitioner26NJ00287700NJ

General Provider Information

NPI Number : 1184931180
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AGNES WANE-SLORY DNP, FNP-BC
Provider Business Mailing Address
First Line : 206 E BROWN ST
Second Line :
City : EAST STROUDSBURG
State : PA
Zip : 18301-3006
Country : US
Telephone Number : 570-476-3700
Fax Number : 570-476-3637
Provider Business Practice Location Address
First Line : 200 E BROWN ST
Second Line :
City : EAST STROUDSBURG
State : PA
Zip : 18301-3006
Country : US
Telephone Number : 570-476-3700
Fax Number : 570-476-3637
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2010
Last Update Date : 03/24/2026

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