Slate, Grace E

Slate, Grace E is an individual health care provider with primary practice located at 7862 W Mansfield Pkwy , Lakewood CO 80235-1934. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Slate, Grace E can be contacted via phone (303) 987-4546.

Contact Information

Primary practice address
7862 W Mansfield Pkwy Lakewood CO 80235-1934
Phone: (303) 987-4546
Fax: (303) 987-4547
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 105107 Colorado

Profile Details

NPI number 1669544813
LBN Legal business name Slate, Grace E
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2006
Last updated Nov 10th, 2015 - about 9 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 1669544813 NPPES
Colorado MEDICAID 01278711
Colorado MEDICAID 1669544813
Colorado Other 88150062
Colorado MEDICAID 10025570100
Colorado Other 59931744

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