Provider Demographics
NPI:1629955836
Name:SLAUGHTER, ANGEL (PMHNP-BC)
Entity type:Individual
Prefix:
First Name:ANGEL
Middle Name:
Last Name:SLAUGHTER
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:ANGEL
Other - Middle Name:MARIE
Other - Last Name:SLAUGHTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN, BSN
Mailing Address - Street 1:194 LEXINGTON PL
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19901-8827
Mailing Address - Country:US
Mailing Address - Phone:678-764-7172
Mailing Address - Fax:
Practice Address - Street 1:194 LEXINGTON PL
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19901-8827
Practice Address - Country:US
Practice Address - Phone:678-764-7172
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-19
Last Update Date:2025-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEL8-0010896363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty