| Slainte Clinic | |
|
555 S Industrial Dr Ste 1 Hartland WI 53029-2333 | |
| (920) 944-8474 | |
| Not Available |
| Full Name | Slainte Clinic |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 555 S Industrial Dr Ste 1, Hartland, Wisconsin |
| Authorized Official Name and Position | Colleen Worth (NURSE PRACTITIONER/OWNER) |
| Authorized Official Contact | 9209448474 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Slainte Clinic 555 S Industrial Dr Ste 1 Hartland WI 53029-2333 Ph: (920) 944-8474 | Slainte Clinic 555 S Industrial Dr Ste 1 Hartland WI 53029-2333 Ph: (920) 944-8474 |
| NPI Number | 1750151395 |
|---|---|
| Provider Enumeration Date | 01/04/2024 |
| Last Update Date | 10/14/2024 |
| Certification Date | 10/14/2024 |
| Medicare PECOS PAC ID | 6507203296 |
|---|---|
| Medicare Enrollment ID | O20240318002699 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750151395 | NPI | - | NPPES |
| Provider Name | Colleen Worth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417247040 PECOS PAC ID: 4385863174 Enrollment ID: I20150527002833 |
| Provider Name | Erin Lynn Malone |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598281362 PECOS PAC ID: 9133567035 Enrollment ID: I20240410001915 |
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