Individual provider · Type 1 NPI
Elizabeth G. Latham, F.N.P.-C
Family Nurse Practitioner · Page, AZ
NPI number
1114995123
Active
Practice location
467 Vista Ave.
Page, AZ 86040-1625
Fax (928) 645-3862
Mailing address
PO Box 1625
Page, AZ 86040-1625
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | RN067045/AP0855 (AZ) |
Family Nurse Practitioner: Definition to come...
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About NPI 1114995123
Elizabeth G. Latham, F.N.P.-C's National Provider Identifier is 1114995123, issued on Mar 8, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Page, AZ. The record was last updated on Jun 15, 2011.