Provider Demographics
NPI:1386447993
Name:SLAUGHTER, AHNNYA (DNP)
Entity type:Individual
Prefix:
First Name:AHNNYA
Middle Name:
Last Name:SLAUGHTER
Suffix:
Gender:
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3909 W 147TH PL
Mailing Address - Street 2:
Mailing Address - City:HAWTHORNE
Mailing Address - State:CA
Mailing Address - Zip Code:90250-8333
Mailing Address - Country:US
Mailing Address - Phone:310-991-5055
Mailing Address - Fax:
Practice Address - Street 1:3909 W 147TH PL
Practice Address - Street 2:
Practice Address - City:HAWTHORNE
Practice Address - State:CA
Practice Address - Zip Code:90250-8333
Practice Address - Country:US
Practice Address - Phone:310-991-5055
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-29
Last Update Date:2025-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA2006364S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse Specialist