Provider Demographics
NPI:1730864497
Name:SLEW, MARKREET B
Entity type:Individual
Prefix:
First Name:MARKREET
Middle Name:B
Last Name:SLEW
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:408 1/2 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MANDAN
Mailing Address - State:ND
Mailing Address - Zip Code:58554-3333
Mailing Address - Country:US
Mailing Address - Phone:469-728-5155
Mailing Address - Fax:
Practice Address - Street 1:408 1/2 E MAIN ST
Practice Address - Street 2:
Practice Address - City:MANDAN
Practice Address - State:ND
Practice Address - Zip Code:58554-3333
Practice Address - Country:US
Practice Address - Phone:469-728-5155
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-20
Last Update Date:2023-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant