Lataillade, Bethany D

Lataillade, Bethany D is an sole proprietor health care provider with primary practice located at 13775 Sw 31St St , Miramar FL 33027-3976. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Lataillade, Bethany D can be contacted via phone (585) 967-7605.

Contact Information

Primary practice address
13775 Sw 31St St Miramar FL 33027-3976
Phone: (585) 967-7605
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 11003508 Florida
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 11003508 Florida

Profile Details

NPI number 1447897723
LBN Legal business name Lataillade, Bethany D
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 5th, 2019
Last updated Nov 23rd, 2020 - about 6 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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