Latta, Tina M

Latta, Tina M is an individual health care provider with primary practice located at 260 Fremont St , Battle Creek MI 49017. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Latta, Tina M can be contacted via phone (269) 245-8166.

Contact Information

Primary practice address
260 Fremont St Battle Creek MI 49017
Phone: (269) 245-8166
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4704205664 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71003623A Indiana

Profile Details

NPI number 1689660425
LBN Legal business name Latta, Tina M
Credentials DNS, FNP-C MSN, ,
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2005
Last updated Mar 13th, 2023 - about 3 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 1689660425 NPPES
Indiana MEDICAID 201027540
Indiana Other 000000725157
Indiana Other 127356

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