Fair, Latresia

Fair, Latresia is an individual health care provider with primary practice located at 1303 Parker Rd Se , Conyers GA 30094-5984. She recently has 4 registered licenses in different health care specialties including Nursing Service Providers / Community Health, Nursing Service Providers / Home Health, Nursing Service Providers / Infusion Therapy, Nursing Service Providers / Registered Nurse. Nursing Service Providers / Infusion Therapy is her primary health care specialty. Fair, Latresia can be contacted via phone (786) 351-9340.

Contact Information

Primary practice address
1303 Parker Rd Se Conyers GA 30094-5984
Phone: (786) 351-9340
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Community Health 163WC1500X 262012 Georgia
Nursing Service Providers / Home Health 163WH0200X 262012 Georgia
Nursing Service Providers / Infusion Therapy 163WI0500X 262012 Georgia
Nursing Service Providers / Registered Nurse 163W00000X 262012 Georgia

Profile Details

NPI number 1902488778
LBN Legal business name Fair, Latresia
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 22nd, 2021
Last updated Apr 22nd, 2021 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1902488778 NPPES
Georgia Other 863208181 INSURANCE COMPANIES
Georgia MEDICAID 863208181 INSURANCE COMPANIES

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