Provider Demographics
NPI:1992678213
Name:SLAYTER, MARYELLEN (RN)
Entity type:Individual
Prefix:
First Name:MARYELLEN
Middle Name:
Last Name:SLAYTER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:54 ELM ST
Mailing Address - Street 2:
Mailing Address - City:MARSHFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:02050-4408
Mailing Address - Country:US
Mailing Address - Phone:781-660-6846
Mailing Address - Fax:
Practice Address - Street 1:54 ELM ST
Practice Address - Street 2:
Practice Address - City:MARSHFIELD
Practice Address - State:MA
Practice Address - Zip Code:02050-4408
Practice Address - Country:US
Practice Address - Phone:781-660-6846
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-24
Last Update Date:2025-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2334826163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health