Healthcare Provider Details

I. General information

NPI: 1972425155
Provider Name (Legal Business Name): BRITTANY FRANCES SLATTERY APRN CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2603 WHITE BEAR AVE N
MAPLEWOOD MN
55109-5110
US

IV. Provider business mailing address

2565 HERSCHEL ST
ROSEVILLE MN
55113-2812
US

V. Phone/Fax

Practice location:
  • Phone: 651-600-3035
  • Fax:
Mailing address:
  • Phone: 310-621-9796
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number683
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: