Avita Slopadoe
Avita Slopadoe is a Nurse Practitioner in Tyngsboro, Massachusetts. Qualified in 2021, 5 years ago. Practices with Renaissance Primary Care LLC, a 7-clinician group and accepts Medicare assignment. Licensed in Massachusetts.
- Years since qualifying
- 5
- Licensed in
- MA
- In the registry since
- 2022
Practice location Address checks out
4 Longfellow Ln Apt 102Tyngsboro, MA 01879-2787
Phone: (978) 606-8429
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence 2021119096 (MA) |
|---|
Record details
| NPI number | 1669194536 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | September 16, 2022 |
| Last updated in NPPES | September 16, 2022 |
| Certification date | September 16, 2022 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Group practice | Renaissance Primary Care Llc — 7 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |