Latten, Kerriann

Latten, Kerriann is an individual health care provider with primary practice located at 2500 Nesconset Hwy Bldg 14 , Stony Brook NY 11790-2555. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Latten, Kerriann can be contacted via phone (316) 896-2266.

Contact Information

Primary practice address
2500 Nesconset Hwy Bldg 14 Stony Brook NY 11790-2555
Phone: (316) 896-2266
Fax: (631) 675-0736
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 342196 New York
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 342196 New York

Profile Details

NPI number 1790200020
LBN Legal business name Latten, Kerriann
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2017
Last updated Mar 1st, 2024 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1790200020 NPPES
New York MEDICAID 04966625

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