Individual provider · Type 1 NPI

Latonya Charmene Prim, CRNP

Gerontology Nurse Practitioner · Pensacola, FL

NPI number 1124475462 Active

Practice location

5041 N 12th Ave
Pensacola, FL 32504-8916

Fax (850) 202-0600

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X1-091626 (AL)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1124475462

Latonya Charmene Prim, CRNP's National Provider Identifier is 1124475462, issued on May 17, 2016. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Pensacola, FL. The record was last updated on May 17, 2016.