Provitt, Latassia
Provitt, Latassia is an sole proprietor health care provider with primary practice located at 115 Rue Felicite , Lafayette LA 70507-5647. She recently has 2 registered licenses in different health care specialties including Nursing Service Related Providers / Personal Care Attendant, Nursing Service Related Providers / Home Health Aide. Nursing Service Related Providers / Personal Care Attendant is her primary health care specialty. Provitt, Latassia can be contacted via phone (337) 326-6562.Contact Information
Primary practice address
115 Rue Felicite
Lafayette LA 70507-5647
Phone: (337) 326-6562
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Personal Care Attendant | 3747P1801X | ||
| Nursing Service Related Providers / Personal Care Attendant | 3747P1801X | 3747P1801X | Louisiana |
| Nursing Service Related Providers / Home Health Aide | 374U00000X |
Profile Details
| NPI number | 1447790951 |
|---|---|
| LBN Legal business name | Provitt, Latassia |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 2nd, 2017 |
| Last updated | Mar 2nd, 2017 - about 9 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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