Healthcare Provider Details

I. General information

NPI: 1841047024
Provider Name (Legal Business Name): SLOANE HERRING MSN, APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2024
Last Update Date: 05/06/2024
Certification Date: 05/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 CONGRESS ST S
YORK SC
29745-1836
US

IV. Provider business mailing address

3601 SW 160TH AVE
MIRAMAR FL
33027-6308
US

V. Phone/Fax

Practice location:
  • Phone: 803-684-0035
  • Fax:
Mailing address:
  • Phone: 305-866-7123
  • Fax: 978-244-8173

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number28584
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: