Latham, Elizabeth G.

Latham, Elizabeth G. is an individual health care provider with primary practice located at 467 Vista Ave. , Page AZ 86040-1625. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Latham, Elizabeth G. can be contacted via phone (928) 645-8123.

Contact Information

Primary practice address
467 Vista Ave. Page AZ 86040-1625
Phone: (928) 645-8123
Fax: (928) 645-3862
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN067045/AP0855 Arizona

Profile Details

NPI number 1114995123
LBN Legal business name Latham, Elizabeth G.
Credentials F.N.P.-C
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
Last updated Jun 15th, 2011 - about 14 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 1114995123 NPPES
Arizona MEDICAID 645252

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