Provider Demographics
NPI:1023173309
Name:SLATTERY, NANCE HELENE (RN LMFT CEAP)
Entity type:Individual
Prefix:MS
First Name:NANCE
Middle Name:HELENE
Last Name:SLATTERY
Suffix:
Gender:F
Credentials:RN LMFT CEAP
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Mailing Address - Street 1:PO BOX 64002
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85728
Mailing Address - Country:US
Mailing Address - Phone:520-327-5522
Mailing Address - Fax:520-327-5525
Practice Address - Street 1:1661 N SWAN RD
Practice Address - Street 2:SUITE 234
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712
Practice Address - Country:US
Practice Address - Phone:520-327-5522
Practice Address - Fax:520-327-5525
Is Sole Proprietor?:No
Enumeration Date:2006-12-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAMFC19162106H00000X
AZRN103948163W00000X
CARN146480163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Not Answered163W00000XNursing Service ProvidersRegistered Nurse