MEDICARE: NANCY VANDERSLICE RN

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	163WC0400X	Case Management Registered Nurse	RN503203L	PA

General Provider Information

NPI Number	:	1912839184
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NANCY VANDERSLICE RN

Provider Business Mailing Address
First Line	:	546 KATHMERE RD
Second Line	:
City	:	HAVERTOWN
State	:	PA
Zip	:	19083-4020
Country	:	US
Telephone Number	:	610-733-7127
Fax Number	:

Provider Business Practice Location Address
First Line	:	546 KATHMERE RD
Second Line	:
City	:	HAVERTOWN
State	:	PA
Zip	:	19083-4020
Country	:	US
Telephone Number	:	610-733-7127
Fax Number	:	215-829-3081

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

Provider Enumeration Date	:	06/02/2026
Last Update Date	:	06/02/2026

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