MEDICARE: MRS. ASHLEY ELIZABETH SLATER FNP

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	363LF0000X	Family Nurse Practitioner	2015034680	MO

Other Identifiers

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

General Provider Information

NPI Number	:	1982078200
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ASHLEY ELIZABETH SLATER FNP

Provider Business Mailing Address
First Line	:	10401 CLAYTON RD STE 100
Second Line	:
City	:	FRONTENAC
State	:	MO
Zip	:	63131-2909
Country	:	US
Telephone Number	:	314-863-5556
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 CHILDRENS PL
Second Line	:	DIV PED HEMATOLOGY & ONC, STE 9S
City	:	SAINT LOUIS
State	:	MO
Zip	:	63110-1002
Country	:	US
Telephone Number	:	314-454-6018
Fax Number	:	844-621-4392

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

Provider Enumeration Date	:	11/24/2015
Last Update Date	:	03/04/2026

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