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:
Health care specialties
Specialty | Code | License # | 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 10 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1669544813 | NPPES |
Colorado | MEDICAID | 01278711 | |
Colorado | MEDICAID | 1669544813 | |
Colorado | Other | 88150062 | |
Colorado | MEDICAID | 10025570100 | |
Colorado | Other | 59931744 |
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