Provider Demographics
NPI:1184876732
Name:SLAUGHTER, AIMEE MICHELE (RN)
Entity type:Individual
Prefix:MRS
First Name:AIMEE
Middle Name:MICHELE
Last Name:SLAUGHTER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MS
Other - First Name:AIMEE
Other - Middle Name:MICHELE
Other - Last Name:REP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2385 ARIEL STREET NORTH
Mailing Address - Street 2:
Mailing Address - City:MAPLEWOOD
Mailing Address - State:MN
Mailing Address - Zip Code:55109
Mailing Address - Country:US
Mailing Address - Phone:651-633-7300
Mailing Address - Fax:651-633-7301
Practice Address - Street 1:2020 BLOOMINGTON AVE S.
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55404
Practice Address - Country:US
Practice Address - Phone:612-871-3700
Practice Address - Fax:612-871-3705
Is Sole Proprietor?:No
Enumeration Date:2008-10-15
Last Update Date:2008-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR182969-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse