Provider Demographics
NPI:1255784195
Name:SLINGSBY, LAURA (CRNP)
Entity type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:
Last Name:SLINGSBY
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 STREET RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:SOUTHAMPTON
Mailing Address - State:PA
Mailing Address - Zip Code:18966-3796
Mailing Address - Country:US
Mailing Address - Phone:215-357-5780
Mailing Address - Fax:
Practice Address - Street 1:501 STREET RD
Practice Address - Street 2:SUITE 101
Practice Address - City:SOUTHAMPTON
Practice Address - State:PA
Practice Address - Zip Code:18966-3796
Practice Address - Country:US
Practice Address - Phone:215-357-5780
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-15
Last Update Date:2017-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP016132363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily