Latayatacha O Freeman-ross APRN-FNP

NPI 1184911349 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1184911349
Gender Female
Enumeration Date 07/07/2011
Last Updated 02/03/2016
Entity Type Individual
Active Over 5 years ago
Practice Location
808 JOHNSON ST
TALLULAH LA, 71282-4535, US
Phone (318) 574-5080
Fax (318) 574-3805
Business Location
808 JOHNSON ST
TALLULAH LA, 71282-4535, US
Phone (318) 574-5080
Fax (318) 574-3805
Toxanomy
Taxonomy Code 363LF0000X
License State Louisiana
License Number 009726-7269
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According to our database, Ms. Latayatacha O Freeman-ross APRN-FNP NPI is 1184911349, taxonomy code is 363LF0000X and license number is 009726-7269, license state is located at Louisiana. Latayatacha O Freeman-ross APRN-FNP physically located at 808 Johnson St, Tallulah LA, 71282-4535. NPI Number Latayatacha O Freeman-ross APRN-FNP has the Individual type.

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1184911349 NPI number is provided on an as is basis without warranty of any kind. 1184911349 is maintained by the National Plan & Provider Enumeration System. The contents of Latayatacha O Freeman-ross APRN-FNP are for informational purposes only.