Slattery, Susan B
Slattery, Susan B is an individual health care provider with primary practice located at 99 Central Ave , Ashland OR 97520-1787. She recently has 4 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Women's Health. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Slattery, Susan B can be contacted via phone (541) 482-9741.Contact Information
Primary practice address
99 Central Ave
Ashland OR 97520-1787
Phone: (541) 482-9741
Fax: (541) 488-6141
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | 209-001582 | Illinois |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 14663 | Wisconsin |
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 200850169NP | Oregon |
| Physician Assistants & Advanced Practice Nursing Providers / Women's Health | 363LW0102X | 200850169NP | Oregon |
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | 200850169NP | Oregon |
Profile Details
| NPI number | 1821035031 |
|---|---|
| LBN Legal business name | Slattery, Susan B |
| Credentials | CNM, WHNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 2006 |
| Last updated | Nov 10th, 2021 - about 4 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 | 1821035031 | NPPES |
| Illinois | Other | 209-001582 | APN LICENSE |
| Illinois | Other | 041-305999 | APN LICENSE |
| Illinois | Other | 200850169NP | APN LICENSE |
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