Provider Demographics
NPI:1043759483
Name:SLATER, YVETTE (NP)
Entity Type:Individual
Prefix:
First Name:YVETTE
Middle Name:
Last Name:SLATER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MS
Other - First Name:YVETTE
Other - Middle Name:
Other - Last Name:SLATER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:APN
Mailing Address - Street 1:22 SCARLET OAK DR
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08540-4610
Mailing Address - Country:US
Mailing Address - Phone:732-470-7211
Mailing Address - Fax:
Practice Address - Street 1:2721 BRUNSWICK PIKE
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08648-4106
Practice Address - Country:US
Practice Address - Phone:609-882-2577
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-17
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00702200363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily