Provider Demographics
NPI:1588473128
Name:SLAUGENHAUPT, DANAE NOELLE
Entity type:Individual
Prefix:
First Name:DANAE
Middle Name:NOELLE
Last Name:SLAUGENHAUPT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:797 LENWOOD RD
Mailing Address - Street 2:
Mailing Address - City:SUMMERVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15864-3507
Mailing Address - Country:US
Mailing Address - Phone:814-229-8538
Mailing Address - Fax:
Practice Address - Street 1:VB 360A 3500 VICTORIA ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15261-0001
Practice Address - Country:US
Practice Address - Phone:814-229-8538
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-07
Last Update Date:2025-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN730813163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse