MEDICARE: PATRICIA SLAN

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
1	171M00000X	Case Manager/Care Coordinator
2	171M00000X	Case Manager/Care Coordinator	9589	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1407389661
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICIA SLAN

Provider Business Mailing Address
First Line	:	4323 DIVISION ST STE 110
Second Line	:
City	:	METAIRIE
State	:	LA
Zip	:	70002-3179
Country	:	US
Telephone Number	:	504-883-8330
Fax Number	:	504-273-1513

Provider Business Practice Location Address
First Line	:	9225 PALM ST
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70118-1919
Country	:	US
Telephone Number	:	504-331-9350
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/05/2017
Last Update Date	:	12/18/2018

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Directions to “ PATRICIA SLAN ” Practice Location

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