Healthcare Provider Details

I. General information

NPI: 1912453937
Provider Name (Legal Business Name): ANDREW J SLATON MSN, APRN, PMHNP-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/30/2016
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3209 W SMITH VALLEY RD STE 216
GREENWOOD IN
46142-8510
US

IV. Provider business mailing address

3209 W SMITH VALLEY RD STE 216
GREENWOOD IN
46142-8510
US

V. Phone/Fax

Practice location:
  • Phone: 317-296-4858
  • Fax: 317-458-2494
Mailing address:
  • Phone: 317-296-4858
  • Fax: 317-458-2494

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number71006749A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: