person
Grace E Slate, CPNP
Pediatric Nurse Practitioner in Lakewood, Colorado
NPI 1669544813

Grace E Slate is a Pediatric Nurse Practitioner based in Lakewood, CO and is specialized in Pediatrics. Grace E Slate practices in Lakewood, CO and has the professional credentials of CPNP. The NPI Number for Grace E Slate is 1669544813 and holds a License No. 105107 (Colorado).

The current practice location address for Grace E Slate is 7862 W Mansfield Pkwy, Lakewood, CO and can be reached out via phone at 303-987-4546 and via fax at 303-987-4547.

Location: 7862 W Mansfield Pkwy, Lakewood, CO, 80235-1934
person
Provider Profile Details
NPI Number
1669544813
Provider Name
Grace E Slate
Credential
CPNP
Provider Entity Type
Individual
Gender
Female
Address
7862 W Mansfield Pkwy, Lakewood, CO, 80235-1934
Phone Number
303-987-4546
Fax Number
303-987-4547
Provider Enumeration Date
11/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01278711 05 CO
1669544813 05 WY
88150062 01 CO MEDICAID GROUP PRACTICE #
10025570100 05 NE
59931744 01 CO MEDICAID GROUP NUMBER
institution
Provider Business Practice Location Address Details
Address
7862 W Mansfield Pkwy
City
State
Zip
80235-1934
Phone Number
303-987-4546
Fax Number
303-987-4547
person
Provider Business Mailing Address Details
Address
7862 W Mansfield Pkwy
City
State
Zip
80235-1934
Phone Number
303-987-4546
Fax Number
303-987-4547
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
105107 (Colorado)
Definition
Definition to come...
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