Provider Demographics
NPI:1629478581
Name:SLAGLE, CHRISTA (APRN, FNP-BC)
Entity Type:Individual
Prefix:
First Name:CHRISTA
Middle Name:
Last Name:SLAGLE
Suffix:
Gender:F
Credentials:APRN, FNP-BC
Other - Prefix:
Other - First Name:CHRISTA
Other - Middle Name:
Other - Last Name:HOSKEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:APRN, FNP-BC
Mailing Address - Street 1:402 SIEGEL ST
Mailing Address - Street 2:
Mailing Address - City:TAMA
Mailing Address - State:IA
Mailing Address - Zip Code:52339-2302
Mailing Address - Country:US
Mailing Address - Phone:620-275-1766
Mailing Address - Fax:620-275-4729
Practice Address - Street 1:402 SIEGEL ST
Practice Address - Street 2:
Practice Address - City:TAMA
Practice Address - State:IA
Practice Address - Zip Code:52339-2302
Practice Address - Country:US
Practice Address - Phone:620-275-1766
Practice Address - Fax:620-275-4729
Is Sole Proprietor?:No
Enumeration Date:2014-08-28
Last Update Date:2015-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS14-128673163W00000X
IA126378163W00000X
KS53-76444363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse