Provider Demographics
NPI:1093884959
Name:SLOSS, DEBORAH DIANNE (RN)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:DIANNE
Last Name:SLOSS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:892 EVERGREEN RD
Mailing Address - Street 2:
Mailing Address - City:WINNSBORO
Mailing Address - State:SC
Mailing Address - Zip Code:29180-8453
Mailing Address - Country:US
Mailing Address - Phone:803-635-7821
Mailing Address - Fax:
Practice Address - Street 1:1073 US HIGHWAY 321
Practice Address - Street 2:
Practice Address - City:WINNSBORO
Practice Address - State:SC
Practice Address - Zip Code:29180
Practice Address - Country:US
Practice Address - Phone:803-635-4689
Practice Address - Fax:803-737-0126
Is Sole Proprietor?:No
Enumeration Date:2006-11-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC33464163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health