Maddox, Latriece
Maddox, Latriece is an sole proprietor health care provider with primary practice located at 41768 W Barcelona Dr , Maricopa AZ 85138-4445. 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. Maddox, Latriece can be contacted via phone (562) 506-3974.Contact Information
Primary practice address
41768 W Barcelona Dr
Maricopa AZ 85138-4445
Phone: (562) 506-3974
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 225170 | Arizona |
Profile Details
| NPI number | 1326773342 |
|---|---|
| LBN Legal business name | Maddox, Latriece |
| Credentials | PMHNP-BC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 22nd, 2022 |
| Last updated | Oct 7th, 2025 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326773342 | NPPES |
| Arizona | MEDICAID | 163188 |
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