Individual provider · Type 1 NPI
Latasha Deree Hines, AGACNP
Acute Care Nurse Practitioner · Raleigh, NC
NPI number
1245014299
Active
Practice location
4420 Lake Boone Trl
Raleigh, NC 27607-7505
Mailing address
2036 Charterhouse Ln
Winterville, NC 28590-8017
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | HINE-3CL25 (NC) |
| Acute Care Nurse Practitioner Primary | 363LA2100X | 5018669 (NC) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1245014299
Latasha Deree Hines, AGACNP's National Provider Identifier is 1245014299, issued on Aug 22, 2023. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Raleigh, NC. The record was last updated on Nov 27, 2023.