Individual provider · Type 1 NPI
Marilyn Glover Latin
Family Nurse Practitioner · Shreveport, LA
NPI number
1154801926
Active
Practice location
510 E Stoner Ave
Shreveport, LA 71101-4243
Mailing address
354 Diane Ln
Stonewall, LA 71078-9653
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | AP10019 (LA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1154801926
Marilyn Glover Latin's National Provider Identifier is 1154801926, issued on Aug 20, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Shreveport, LA. The record was last updated on Aug 20, 2018.