Patterson, Latisha Darsha

Patterson, Latisha Darsha is an individual health care provider with primary practice located at 381 Ruin Creek Rd , Henderson NC 27536-2932. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Patterson, Latisha Darsha can be contacted via phone (252) 430-0666.

Contact Information

Primary practice address
381 Ruin Creek Rd Henderson NC 27536-2932
Fax: (252) 430-7503
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0010-03750 North Carolina

Profile Details

NPI number 1033460019
LBN Legal business name Patterson, Latisha Darsha
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 1st, 2012
Last updated Oct 3rd, 2012 - about 14 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 1033460019 NPPES
North Carolina Other 0010-03750 NC MEDICAL BOARD

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