Individual provider · Type 1 NPI

Gwendolyn Lattie

Family Nurse Practitioner · Hagerstown, MD

NPI number 1245808732 Active

Practice location

1165 Imperial Dr Ste 300
Hagerstown, MD 21740-6556

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XR152199 (MD)

Family Nurse Practitioner: Definition to come...

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About NPI 1245808732

Gwendolyn Lattie's National Provider Identifier is 1245808732, issued on Jun 11, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Hagerstown, MD. The record was last updated on Jun 11, 2021.