Individual provider · Type 1 NPI
Shannon Michal Latta, ARNP
Family Nurse Practitioner · Federal Way, WA
NPI number
1194956672
Active
Practice location
3201 S 323rd St
Federal Way, WA 98001-5023
Fax (877) 780-0122
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | AP60098107 (WA) |
| Family Nurse Practitioner | 363LF0000X | RN00147326 (WA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1194956672
Shannon Michal Latta, ARNP's National Provider Identifier is 1194956672, issued on Aug 2, 2009. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Federal Way, WA. The record was last updated on Aug 18, 2026.