Provider Demographics
NPI:1689082422
Name:SLAVIN, JUSTINE E (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:JUSTINE
Middle Name:E
Last Name:SLAVIN
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:JUSTINE
Other - Middle Name:E
Other - Last Name:FRIEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:305 SEVENTH ST
Mailing Address - Street 2:
Mailing Address - City:NEW KENSINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:15068-6529
Mailing Address - Country:US
Mailing Address - Phone:724-339-3900
Mailing Address - Fax:724-334-1704
Practice Address - Street 1:305 SEVENTH ST
Practice Address - Street 2:
Practice Address - City:NEW KENSINGTON
Practice Address - State:PA
Practice Address - Zip Code:15068-6529
Practice Address - Country:US
Practice Address - Phone:724-339-3900
Practice Address - Fax:724-334-1704
Is Sole Proprietor?:No
Enumeration Date:2014-07-24
Last Update Date:2020-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP013859363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA14210754OtherCAQH
PA390102OtherUPMC