Individual provider · Type 1 NPI

Johanna Alicia Latham

Family Nurse Practitioner · Los Banos, CA

NPI number 1407039332 Active · reactivated Sep 21, 2026

Practice location

1253 W I St
Los Banos, CA 93635-3930

Call (209) 710-6333 Map

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X755647 (CA)
Family Nurse Practitioner Primary 363LF0000X95038240 (CA)

Family Nurse Practitioner: Definition to come...

8 other providers at this address

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About NPI 1407039332

Johanna Alicia Latham's National Provider Identifier is 1407039332, issued on Dec 13, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Los Banos, CA. The record was last updated on Oct 7, 2026.