Provider Demographics
NPI:1043674252
Name:SLATER, SUMMER PAIGE (CRNP)
Entity Type:Individual
Prefix:
First Name:SUMMER
Middle Name:PAIGE
Last Name:SLATER
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:SUMMER
Other - Middle Name:PAIGE
Other - Last Name:SANDERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP
Mailing Address - Street 1:250 CHATEAU DR SW
Mailing Address - Street 2:SUITE 115
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-6436
Mailing Address - Country:US
Mailing Address - Phone:256-533-4645
Mailing Address - Fax:256-808-3178
Practice Address - Street 1:250 CHATEAU DR SW
Practice Address - Street 2:SUITE 115
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-6436
Practice Address - Country:US
Practice Address - Phone:256-533-4645
Practice Address - Fax:256-808-3178
Is Sole Proprietor?:No
Enumeration Date:2016-04-13
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-112750363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care