Lattimore, Clare

Lattimore, Clare is an individual health care provider with primary practice located at Mile 187 Glenn Hwy , Glennallen AK 99588-0589. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Lattimore, Clare can be contacted via phone (907) 822-3203.

Contact Information

Primary practice address
Mile 187 Glenn Hwy Glennallen AK 99588-0589
Fax: (907) 822-5805
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 10879-0225-02 Alaska

Profile Details

NPI number 1558347989
LBN Legal business name Lattimore, Clare
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2005
Last updated Aug 18th, 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 1558347989 NPPES
Alaska MEDICAID RH0522

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