Provider Demographics
NPI:1336108240
Name:SLATER, ERIN E (FNP)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:E
Last Name:SLATER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
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Mailing Address - Street 1:2723 S 7TH ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:TERRE HAUTE
Mailing Address - State:IN
Mailing Address - Zip Code:47802-3584
Mailing Address - Country:US
Mailing Address - Phone:812-238-1730
Mailing Address - Fax:812-242-1565
Practice Address - Street 1:35 S ELM ST
Practice Address - Street 2:
Practice Address - City:ROSEDALE
Practice Address - State:IN
Practice Address - Zip Code:47874-9543
Practice Address - Country:US
Practice Address - Phone:765-548-0278
Practice Address - Fax:765-548-0352
Is Sole Proprietor?:No
Enumeration Date:2006-03-20
Last Update Date:2007-09-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN71001912A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
INQ46147Medicare UPIN