Anderson, Latisha Shaconna
Anderson, Latisha Shaconna is an sole proprietor health care provider with primary practice located at 6350 Bergot St Apt 101 , Raleigh NC 27616-3465. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Anderson, Latisha Shaconna can be contacted via phone (919) 255-0410.Contact Information
Primary practice address
6350 Bergot St Apt 101
Raleigh NC 27616-3465
Phone: (919) 255-0410
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 233765 | North Carolina |
Profile Details
| NPI number | 1346822822 |
|---|---|
| LBN Legal business name | Anderson, Latisha Shaconna |
| Credentials | PMHNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 24th, 2021 |
| Last updated | Apr 24th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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