Healthcare Provider Details

I. General information

NPI: 1427513837
Provider Name (Legal Business Name): CORINNE ELIZABETH SLINGER FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CORINNE ELIZABETH SMITH FNP

II. Dates (important events)

Enumeration Date: 02/10/2019
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9180 W FLORISSANT AVE
SAINT LOUIS MO
63136-1421
US

IV. Provider business mailing address

621 SE SCOTCH PINE WAY
MADRAS OR
97741-2033
US

V. Phone/Fax

Practice location:
  • Phone: 314-372-3420
  • Fax:
Mailing address:
  • Phone: 314-960-4421
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF11180553
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2019015046
License Number StateMO
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number202000365NP-PP
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: