Laurel Elizabeth Slater, RNC
Individual provider Active NPI Registered Nurse · Mentone, CA
NPI 1861676033 · NPPES record last updated Dec 24, 2007
Key facts
- NPI
- 1861676033
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 280929 (CA)
- Practice address
- 34346 Fishhatchery Rd
Mentone, CA 92359 - Phone
- (909) 844-0388
- NPI assigned
- Dec 24, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 280929 | CA | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 280929 | CA | Yes |
Addresses
Primary practice location
34346 Fishhatchery Rd
Mentone, CA 92359
Mailing address
P.O. Box12206
San Bernardino, CA 92423-2206
Phone (909) 844-0388
Other providers in Mentone, CA
- Rose Garden Residential Operator, LLC
- Lindsay Ruston
- Anthony Sanders
- Vineet Kumar Sharma
- Ahmed A Shawakha
- Lawrence Lamar Smith
- Questley J Smith
- Jennifer Uithoven
- Unica HC, LLC
- Valley Star Behavioral Health, Inc.
All providers in Mentone, CA · Registered Nurse in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 24, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.