Individual provider · Type 1 NPI
Dalton Enrico Latham, NP- NURSE PRACTITION
Adult Health Nurse Practitioner · Berrien Springs, MI
NPI number
1194291179
Active
Practice location
8521 Kephart Lane
Berrien Springs, MI 49103
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 4704211443 (MI) |
| Family Nurse Practitioner | 363LF0000X | 4704211443 (MI) |
Adult Health Nurse Practitioner: Definition to come...
About NPI 1194291179
Dalton Enrico Latham, NP- NURSE PRACTITION's National Provider Identifier is 1194291179, issued on Oct 17, 2018. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Berrien Springs, MI. The record was last updated on Oct 17, 2018.