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Mrs. Christine Marie Slack, LPN
Licensed Practical Nurse in Apache Junction, Arizona
NPI 1659407617

Christine Marie Slack is a Licensed Practical Nurse based in Gold Canyon, AZ. Christine Marie Slack practices in Apache Junction, AZ and has the professional credentials of LPN. The NPI Number for Christine Marie Slack is 1659407617 and holds a License No. LP040169 (Arizona).

The current practice location address for Christine Marie Slack is 3701 E Broadway Ave, Apache Junction, AZ and can be reached out via phone at 480-982-1110 and via fax at 480-288-0532. You can also correspond with Christine Marie Slack through the mailing address at 10470 E DUTCHMANS TRL, GOLD CANYON, AZ - 85218-4916 (mailing address contact number: 480-983-2311).

Location: 3701 E Broadway Ave, Apache Junction, AZ, 85218-4916
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659407617
Provider Name
Christine Marie Slack
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
3701 E Broadway Ave, Apache Junction, AZ, 85218-4916
Phone Number
480-982-1110
Fax Number
480-288-0532
Provider Enumeration Date
02/26/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
178915 01 AZ AHCCCS
institution
Provider Business Practice Location Address Details
Address
3701 E Broadway Ave
City
Apache Junction
State
Arizona
Zip
85219-9301
Phone Number
480-982-1110
Fax Number
480-288-0532
person
Provider Business Mailing Address Details
Address
10470 E Dutchmans Trl
City
Gold Canyon
State
Arizona
Zip
85218-4916
Phone Number
480-983-2311
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
LP040169 (Arizona)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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