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ARMANDO WAYNE SLACK R.N. NPI 1659572949


NPI Information

NPI: 1659572949
Provider Name: ARMANDO WAYNE SLACK, R.N.
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
190 S MAIN ST
CENTERVILLE, UT
ZIP 84014
Phone: (801) 614-8400
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Armando Wayne Slack, R.N. is a psychiatric/mental health nurse practitioner in Centerville, UT. Armando Wayne Slack, R.N. NPI is 1659572949. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

190 S MAIN ST
CENTERVILLE, UT
ZIP 84014
Phone: (801) 614-8400

The NPI 1659572949 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/31/2007 and was last updated on 3/6/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1163WA0400XRegistered NurseAddiction (Substance Use Disorder)2943543102UTAHNo
2163WX0200XRegistered NurseOncology2943543102UTAHNo
3363LP0808XNurse PractitionerPsychiatric/Mental Health2943544405UTAHYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.