Kathleen Marie Slack, RN, MSN, PMHNP - Nurse Practitioner in Wrentham, MA

Kathleen Marie Slack, RN, MSN, PMHNP is a Nurse Practitioner - Psychiatric/mental Health based in Wrentham, Massachusetts. Kathleen Marie Slack is licensed to practice in Massachusetts (license number 197713) and her current practice location is 155 South Street, Ste 101, Wrentham, Massachusetts. She can be reached at her office (for appointments etc.) via phone at (508) 964-3330.

NPI number for Kathleen Marie Slack is 1346997343 and her current mailing address is 39 Barton Rd, Foxborough, Massachusetts. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1346997343.

Contact Information

Kathleen Marie Slack, RN, MSN, PMHNP
155 South Street, Ste 101,
Wrentham, MA 02093-2838
(508) 964-3330
Not Available

Map and Direction




Provider's Profile

Full NameKathleen Marie Slack
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location155 South Street, Wrentham, Massachusetts
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1346997343
  • Provider Enumeration Date: 03/09/2022
  • Last Update Date: 07/21/2023

Medical Identifiers

Medical identifiers for Kathleen Marie Slack such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1346997343NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 197713 (Massachusetts)Primary
163W00000XRegistered Nurse 197713 (Massachusetts)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kathleen Marie Slack is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kathleen Marie Slack, RN, MSN, PMHNP
39 Barton Rd,
Foxborough, MA 02035-2838

Ph: (508) 596-6720
Kathleen Marie Slack, RN, MSN, PMHNP
155 South Street, Ste 101,
Wrentham, MA 02093-2838

Ph: (508) 964-3330

Reviews and Comments


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