Provider Demographics
NPI:1902652118
Name:SLUSHER, PHYSCILLA FAYE
Entity type:Individual
Prefix:
First Name:PHYSCILLA
Middle Name:FAYE
Last Name:SLUSHER
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 1:114 SLUSHER RD UNIT A
Mailing Address - Street 2:
Mailing Address - City:MINFORD
Mailing Address - State:OH
Mailing Address - Zip Code:45653-8949
Mailing Address - Country:US
Mailing Address - Phone:740-821-5775
Mailing Address - Fax:
Practice Address - Street 1:114 SLUSHER RD UNIT A
Practice Address - Street 2:
Practice Address - City:MINFORD
Practice Address - State:OH
Practice Address - Zip Code:45653-8949
Practice Address - Country:US
Practice Address - Phone:740-821-5775
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-29
Last Update Date:2024-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant