Individual provider · Type 1 NPI

Andrea D. Latta, APRN, BC

Family Nurse Practitioner · St. Peters, MO

NPI number 1396732152 Active

Practice location

70 Jungermann Cir, Suite 405
St. Peters, MO 63376-1622

Fax (636) 720-0311

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X133141 (MO)

Family Nurse Practitioner: Definition to come...

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About NPI 1396732152

Andrea D. Latta, APRN, BC's National Provider Identifier is 1396732152, issued on Oct 5, 2005. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in St. Peters, MO. The record was last updated on Mar 7, 2014.