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NPI Code Detail

MEDICARE: TRENIA SLAYDEN APRN

MEDICARE:   TRENIA  SLAYDEN  APRN
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
1363LF0000XFamily Nurse PractitionerAPRN11028793FL
2363L00000XNurse PractitionerAPRN11028793FL

General Provider Information

NPI Number : 1619727229
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRENIA SLAYDEN APRN
Provider Business Mailing Address
First Line : 3716 W OAKLAND PARK BLVD
Second Line :
City : LAUDERDALE LAKES
State : FL
Zip : 33311-1134
Country : US
Telephone Number : 954-759-7557
Fax Number : 954-733-9155
Provider Business Practice Location Address
First Line : 3716 W OAKLAND PARK BLVD
Second Line :
City : LAUDERDALE LAKES
State : FL
Zip : 33311-1134
Country : US
Telephone Number : 954-759-7557
Fax Number : 954-733-9155
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2024
Last Update Date : 06/27/2024

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Practice Location Address:
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Directions to “ TRENIA SLAYDEN APRN” Practice Location

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