Provider Demographics
NPI:1659330892
Name:SLOPEK, DEBORAH (CRNP)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:
Last Name:SLOPEK
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:380 SUMMIT AVE
Mailing Address - Street 2:
Mailing Address - City:STEUBENVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43952-2667
Mailing Address - Country:US
Mailing Address - Phone:740-283-7650
Mailing Address - Fax:740-283-7807
Practice Address - Street 1:401 MARKET ST
Practice Address - Street 2:SUITE 200
Practice Address - City:STEUBENVILLE
Practice Address - State:OH
Practice Address - Zip Code:43952-2881
Practice Address - Country:US
Practice Address - Phone:740-282-5000
Practice Address - Fax:740-282-5233
Is Sole Proprietor?:No
Enumeration Date:2006-03-17
Last Update Date:2012-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN269927L363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
WVFNP 35620OtherWV LICENSE
PARN269927LOtherLICENSE
WV3810015475Medicaid
OHP00819996OtherRR MEDICARE
OH2995022Medicaid
OKNP-08611OtherOHIO LICENSE
OKNP-08611OtherOHIO LICENSE
OHH052650Medicare PIN
OH9285544Medicare PIN