Individual provider · Type 1 NPI
Kathleen Marie Slack, RN, MSN, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Wrentham, MA
NPI number
1346997343
Active
Practice location
155 South Street, Ste 101
Wrentham, MA 02093-2838
Mailing address
39 Barton Rd
Foxborough, MA 02035-2838
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 197713 (MA) |
| Registered Nurse | 163W00000X | 197713 (MA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Other psychiatric/mental health nurse practitioner providers in Wrentham
About NPI 1346997343
Kathleen Marie Slack, RN, MSN, PMHNP's National Provider Identifier is 1346997343, issued on Mar 9, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Wrentham, MA. The record was last updated on Jul 21, 2023.