Shasta Marie Slavkovsky, NP

NPI #1932640968 in Boise, Idaho

Provider Information

NPI Number: 1932640968
Entity Type: Individual
Name: Shasta Marie Slavkovsky, NP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Nurse Practitioner
Credential: NP
Enumeration Date: Mar 9, 2017
Last Updated: Mar 30, 2017

Practice Location

Address: 901 N CURTIS RD
Address 2: #503
City: Boise
State: Idaho
ZIP Code: 83706-1338
Phone: (208) 302-4000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X	Primary

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