Provider Demographics
NPI:1639795305
Name:SLINGWINE, KEVLIN (DNP, ARNP, AGNP-C)
Entity Type:Individual
Prefix:
First Name:KEVLIN
Middle Name:
Last Name:SLINGWINE
Suffix:
Gender:F
Credentials:DNP, ARNP, AGNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2701 N 16TH ST STE 316
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85006-1266
Mailing Address - Country:US
Mailing Address - Phone:602-650-1212
Mailing Address - Fax:
Practice Address - Street 1:4686 POINTES DR STE 219
Practice Address - Street 2:
Practice Address - City:MUKILTEO
Practice Address - State:WA
Practice Address - Zip Code:98275-6038
Practice Address - Country:US
Practice Address - Phone:425-405-8089
Practice Address - Fax:425-426-2277
Is Sole Proprietor?:No
Enumeration Date:2020-06-18
Last Update Date:2021-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN60864073163W00000X
WAAP61178028363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No163W00000XNursing Service ProvidersRegistered Nurse