Provider Demographics
NPI:1508563446
Name:SLENTZ, COURTNEY DAWN (MSN, FNP-C)
Entity Type:Individual
Prefix:
First Name:COURTNEY
Middle Name:DAWN
Last Name:SLENTZ
Suffix:
Gender:F
Credentials:MSN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8256 ORE HILL RD SW
Mailing Address - Street 2:
Mailing Address - City:STONE CREEK
Mailing Address - State:OH
Mailing Address - Zip Code:43840-9473
Mailing Address - Country:US
Mailing Address - Phone:330-432-2975
Mailing Address - Fax:
Practice Address - Street 1:110 DUBLIN DR
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:OH
Practice Address - Zip Code:44622-7805
Practice Address - Country:US
Practice Address - Phone:330-343-0753
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-10
Last Update Date:2023-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.0033148363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily