Individual provider · Type 1 NPI
Bethany D. Lataillade, APRN
Adult Health Nurse Practitioner · Miramar, FL
NPI number
1447897723
Active
Practice location
13775 SW 31st St
Miramar, FL 33027-3976
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 11003508 (FL) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | 11003508 (FL) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1447897723
Bethany D. Lataillade, APRN's National Provider Identifier is 1447897723, issued on Dec 5, 2019. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Miramar, FL. The record was last updated on Nov 23, 2020.