Slade, Lareshia L

Slade, Lareshia L is an individual health care provider with primary practice located at 1300 Caraway Ct 106, Largo MD 20774-5461. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Slade, Lareshia L can be contacted via phone (301) 322-9500.

Contact Information

Primary practice address
1300 Caraway Ct 106 Largo MD 20774-5461
Phone: (301) 322-9500
Fax: (301) 322-2227
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X ARNP9208578 Florida

Profile Details

NPI number 1659386415
LBN Legal business name Slade, Lareshia L
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2006
Last updated Jun 3rd, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659386415 NPPES
Florida MEDICAID 306946000

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