Provider Demographics
NPI:1487945598
Name:SLOCUM, CAROLYNN M (BS, ICCE)
Entity type:Individual
Prefix:
First Name:CAROLYNN
Middle Name:M
Last Name:SLOCUM
Suffix:
Gender:F
Credentials:BS, ICCE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8439 MAYFAIR PL
Mailing Address - Street 2:
Mailing Address - City:BLAINE
Mailing Address - State:WA
Mailing Address - Zip Code:98230-6505
Mailing Address - Country:US
Mailing Address - Phone:360-393-0210
Mailing Address - Fax:
Practice Address - Street 1:8439 MAYFAIR PL
Practice Address - Street 2:
Practice Address - City:BLAINE
Practice Address - State:WA
Practice Address - Zip Code:98230-6505
Practice Address - Country:US
Practice Address - Phone:360-393-0210
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-22
Last Update Date:2011-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula