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NPI Code Detail

MEDICARE: SARA ANN SLAUGHTER CNP

MEDICARE: SARA ANN SLAUGHTER CNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner11781-NPOH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1013224807
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARA ANN SLAUGHTER CNP
Provider Business Mailing Address
First Line : 5053 WOOSTER RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45226-2326
Country : US
Telephone Number : 513-751-2273
Fax Number :
Provider Business Practice Location Address
First Line : 3050 MACK RD STE 300
Second Line :
City : FAIRFIELD
State : OH
Zip : 45014-5376
Country : US
Telephone Number : 513-751-2273
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/01/2010
Last Update Date : 04/12/2011

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Directions to “ SARA ANN SLAUGHTER CNP” Practice Location

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