Individual provider · Type 1 NPI

Colleen Marie Slattery, PA-C

Student in an Organized Health Care Education/Training Program · Fort Lauderdale, FL

NPI number 1780243048 Active

Practice location

4501 NE 21st Ln
Fort Lauderdale, FL 33308-4712

Call (954) 802-8823 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1780243048

Colleen Marie Slattery, PA-C's National Provider Identifier is 1780243048, issued on Jun 11, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fort Lauderdale, FL. The record was last updated on Jun 11, 2019.