Latta, Virginia

Latta, Virginia is an individual health care provider with primary practice located at 350 Posada Ln 102, Templeton CA 93465-4059. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Latta, Virginia can be contacted via phone (805) 434-3699.

Contact Information

Primary practice address
350 Posada Ln 102 Templeton CA 93465-4059
Phone: (805) 434-3699
Fax: (805) 434-4864
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 153772 California

Profile Details

NPI number 1083628002
LBN Legal business name Latta, Virginia
Credentials NP, RN
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Jan 22nd, 2009 - about 15 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 1083628002 NPPES
California MEDICAID 153772

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