Provider Demographics
NPI:1164391793
Name:SLAUBAUGH, PATRICIA ANN
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:ANN
Last Name:SLAUBAUGH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:TRISH
Other - Middle Name:
Other - Last Name:SLAUBAUGH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:7751 52ND AVE NE
Mailing Address - Street 2:
Mailing Address - City:WOLFORD
Mailing Address - State:ND
Mailing Address - Zip Code:58385-9513
Mailing Address - Country:US
Mailing Address - Phone:701-771-2147
Mailing Address - Fax:
Practice Address - Street 1:7751 52ND AVE NE
Practice Address - Street 2:
Practice Address - City:WOLFORD
Practice Address - State:ND
Practice Address - Zip Code:58385-9513
Practice Address - Country:US
Practice Address - Phone:701-771-2147
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-11-03
Last Update Date:2025-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant