Provider Demographics
NPI:1407267388
Name:SLAVICH, CARRIE GODFREY (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:CARRIE
Middle Name:GODFREY
Last Name:SLAVICH
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:MISS
Other - First Name:CARRIE
Other - Middle Name:JENNIFER
Other - Last Name:GODFREY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1600 7TH AVE S
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35233-1711
Mailing Address - Country:US
Mailing Address - Phone:205-638-6235
Mailing Address - Fax:205-638-5242
Practice Address - Street 1:1600 7TH AVE S
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35233-1711
Practice Address - Country:US
Practice Address - Phone:205-638-6235
Practice Address - Fax:205-638-5242
Is Sole Proprietor?:No
Enumeration Date:2014-05-14
Last Update Date:2014-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-111255163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0200XNursing Service ProvidersRegistered NursePediatrics