Provider Demographics
NPI:1417509167
Name:SLOAN, ALISON L (FNP-BC)
Entity Type:Individual
Prefix:
First Name:ALISON
Middle Name:L
Last Name:SLOAN
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1406 SE 164TH AVE STE 250
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98683-9663
Mailing Address - Country:US
Mailing Address - Phone:360-940-0860
Mailing Address - Fax:360-597-3436
Practice Address - Street 1:101 S SAN MATEO DR STE 311
Practice Address - Street 2:
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94401-3844
Practice Address - Country:US
Practice Address - Phone:650-696-8236
Practice Address - Fax:650-696-8229
Is Sole Proprietor?:No
Enumeration Date:2019-07-12
Last Update Date:2019-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP95010954363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily