Healthcare Provider Details

I. General information

NPI: 1659526853
Provider Name (Legal Business Name): SUSAN MCVEY SLOSS N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MRS. SUSAN MCVEY SLOSS

II. Dates (important events)

Enumeration Date: 12/02/2008
Last Update Date: 11/23/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2354 W. BOULEVARD
KOKOMO IN
46902
US

IV. Provider business mailing address

10330 N MERIDIAN ST SUITE 201
INDIANAPOLIS IN
46290-1024
US

V. Phone/Fax

Practice location:
  • Phone: 765-457-4800
  • Fax: 765-454-7686
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number71002850A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: