MEDICARE: BARBARA M. SLATER NP, 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
1	364SP0809X	Adult Psychiatric/Mental Health Clinical Nurse Specialist	3183S	KY
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	3003183	KY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2009010523	OTHER		ANCC

General Provider Information

NPI Number	:	1952380867
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BARBARA M. SLATER NP, APRN

Provider Business Mailing Address
First Line	:	641 ANDOVER VILLAGE PL
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40509-1928
Country	:	US
Telephone Number	:	859-299-3828
Fax Number	:

Provider Business Practice Location Address
First Line	:	3150 CUSTER DR
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40517-4010
Country	:	US
Telephone Number	:	859-229-0085
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/10/2006
Last Update Date	:	05/27/2015

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