Wallace, Latiere

Wallace, Latiere is an individual health care provider with primary practice located at 14527 7Th St , Dade City FL 33523-3102. 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. Wallace, Latiere can be contacted via phone (352) 521-1474.

Contact Information

Primary practice address
14527 7Th St Dade City FL 33523-3102
Phone: (352) 521-1474
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 11023599 Florida

Profile Details

NPI number 1518673854
LBN Legal business name Wallace, Latiere
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2023
Last updated May 11th, 2023 - about 2 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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