Healthcare Provider Details

I. General information

NPI: 1497275614
Provider Name (Legal Business Name): KORTNEY RASHEL SLUSSAR RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/20/2017
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1852 SINCLAIR AVE
STEUBENVILLE OH
43953-3328
US

IV. Provider business mailing address

1852 SINCLAIR AVE
STEUBENVILLE OH
43953-3328
US

V. Phone/Fax

Practice location:
  • Phone: 740-314-8878
  • Fax: 216-848-1252
Mailing address:
  • Phone: 740-314-8878
  • Fax: 216-848-1252

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License NumberRN.424857
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: