Healthcare Provider Details

I. General information

NPI: 1396712857
Provider Name (Legal Business Name): TAMMY DENE SLAYMAN NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/03/2006
Last Update Date: 10/28/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

265 PORTAGE TRAIL EXT W STE 200
CUYAHOGA FALLS OH
44223-3613
US

IV. Provider business mailing address

168 E MARKET ST PO BOX 3542
AKRON OH
44308-2038
US

V. Phone/Fax

Practice location:
  • Phone: 330-928-3111
  • Fax: 330-928-2843
Mailing address:
  • Phone: 330-996-0347
  • Fax: 330-996-0359

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberNP08117
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: