Thomas Anthony Lata CRNA, ACNP

NPI 1053610659 - Registered Nurse - 163WC0200X

NPI Details
NPI 1053610659
Gender Male
Enumeration Date 03/22/2011
Last Updated 03/22/2011
Entity Type Individual
Active Over 6 years ago
Practice Location
2550 SISTER MARY COLUMBA DR
RED BLUFF CA, 96080-4327, US
Phone (530) 529-8000
Fax
Business Location
371 BARNHART CIR
SACRAMENTO CA, 95835-1526, US
Phone (916) 607-1085
Fax
Toxanomy
Taxonomy Code 163WC0200X
License State California
License Number 546669
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According to our database, Mr. Thomas Anthony Lata CRNA, ACNP NPI is 1053610659, taxonomy code is 163WC0200X and license number is 546669, license state is located at California. Thomas Anthony Lata CRNA, ACNP physically located at 2550 Sister Mary Columba Dr, Red Bluff CA, 96080-4327. NPI Number Thomas Anthony Lata CRNA, ACNP has the Individual type.

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1053610659 NPI number is provided on an as is basis without warranty of any kind. 1053610659 is maintained by the National Plan & Provider Enumeration System. The contents of Thomas Anthony Lata CRNA, ACNP are for informational purposes only.