Provider Demographics
NPI:1023471034
Name:SLATER, EMILY E (NP)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:E
Last Name:SLATER
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:10150 STAPLES MILL RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:GLEN ALLEN
Mailing Address - State:VA
Mailing Address - Zip Code:23060-3452
Mailing Address - Country:US
Mailing Address - Phone:804-893-8627
Mailing Address - Fax:804-673-5497
Practice Address - Street 1:10150 STAPLES MILL RD
Practice Address - Street 2:SUITE A
Practice Address - City:GLEN ALLEN
Practice Address - State:VA
Practice Address - Zip Code:23060-3452
Practice Address - Country:US
Practice Address - Phone:804-893-8627
Practice Address - Fax:804-673-5497
Is Sole Proprietor?:No
Enumeration Date:2016-03-29
Last Update Date:2016-03-29
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Provider Licenses
StateLicense IDTaxonomies
VA0024173409363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAC06778OtherGROUP PTAN