Active NPIIndividual providerSole proprietor

Ethan T Slabaugh, DNP

Nurse Practitioner in Pittsfield, Massachusetts

NPI Number1134849326
Practice location
82 Wendell Ave Ste 100, Pittsfield, MA 01201-7066
Fax
423-301-6604
Last updated
February 19, 2025

Ethan Thomas Slabaugh is a Nurse Practitioner based in Pittsfield, MA. Ethan Thomas Slabaugh practices in Pittsfield, MA and has the professional credentials of DNP. The NPI Number for Ethan Thomas Slabaugh is 1134849326 and holds a License No. RN2361626 (MA). The current practice location address for Ethan Thomas Slabaugh is 82 Wendell Ave Ste 100, Pittsfield, MA 01201-7066 and can be reached out via phone at 617-517-6340 and via fax at 423-301-6604.

Provider Profile Details

NPI Number
1134849326
Provider Name
Ethan Thomas Slabaugh
Credential
DNP
Provider Entity Type
Individual
Gender
Male
Address
82 Wendell Ave Ste 100, Pittsfield, MA 01201-7066
Phone Number
617-517-6340
Fax Number
423-301-6604
Primary Taxonomy
Nurse Practitioner · 363L00000X
Sole Proprietor
Yes
Provider Enumeration Date
August 30, 2022
Last Update Date
February 19, 2025
Certification Date
February 19, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
82 Wendell Ave Ste 100
Pittsfield, MA 01201-7066
Zip
01201-7066
Phone Number
617-517-6340
Fax Number
423-301-6604
Pittsfield, MA 01201Get directions →

Provider Business Mailing Address Details

Address
82 Wendell Ave Ste 100
Pittsfield, MA 01201-7066
City
Pittsfield
State
MA
Zip
01201-7066
Phone Number
617-517-6340
Fax Number
423-301-6604

License Information

License Number (1)
RN2361626
License State (1)
MA
Taxonomy (1)
Nurse Practitioner, Family · 363LF0000X
License Number (2)
RN2361626
License State (2)
MA
Taxonomy (2)
Nurse Practitioner · 363L00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ethan T Slabaugh, DNP?

The NPI number of Ethan T Slabaugh, DNP is 1134849326. It was assigned on August 30, 2022 and is currently active in the NPPES registry.

What is the specialty of Ethan T Slabaugh, DNP?

Ethan T Slabaugh, DNP is registered under the primary taxonomy Nurse Practitioner (code 363L00000X), licensed in MA under license number RN2361626.

Where does Ethan T Slabaugh, DNP practice?

The practice location is 82 Wendell Ave Ste 100, Pittsfield, MA 01201-7066. The office can be reached at 617-517-6340 (phone) or 423-301-6604 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1134849326 directly on the NPPES registry website.

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