Individual provider · Type 1 NPI
Latosha Larkin Corley
Gerontology Nurse Practitioner · Orangeburg, SC
NPI number
1376193383
Active
Practice location
3000 Saint Matthews Rd
Orangeburg, SC 29118-1442
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 22980 (SC) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1376193383
Latosha Larkin Corley's National Provider Identifier is 1376193383, issued on Sep 12, 2019. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Orangeburg, SC. The record was last updated on Sep 12, 2019.