Provider Demographics
NPI:1316497936
Name:SLAYTON, LARUEL HOPE (RN)
Entity type:Individual
Prefix:
First Name:LARUEL
Middle Name:HOPE
Last Name:SLAYTON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2798 EUGENE REED RD
Mailing Address - Street 2:
Mailing Address - City:WOODBURY
Mailing Address - State:TN
Mailing Address - Zip Code:37190-5758
Mailing Address - Country:US
Mailing Address - Phone:615-556-4168
Mailing Address - Fax:
Practice Address - Street 1:2798 EUGENE REED RD
Practice Address - Street 2:
Practice Address - City:WOODBURY
Practice Address - State:TN
Practice Address - Zip Code:37190-5758
Practice Address - Country:US
Practice Address - Phone:615-556-4168
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-06
Last Update Date:2016-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN206603163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health