Individual provider · Type 1 NPI
Mia Latham, NP
Women's Health Nurse Practitioner · Lubbock, TX
NPI number
1487690236
Active
Practice location
3601 4th St, Suite 3B100
Lubbock, TX 79430-0002
Fax (806) 743-1775
Mailing address
PO Box 5865
Lubbock, TX 79408-5865
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Women's Health Nurse Practitioner Primary | 363LW0102X | 547826 (TX) |
Women's Health Nurse Practitioner: Definition to come...
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About NPI 1487690236
Mia Latham, NP's National Provider Identifier is 1487690236, issued on Jun 21, 2006. The primary taxonomy on file is Women's Health Nurse Practitioner (363LW0102X), and the practice location is in Lubbock, TX. The record was last updated on Jul 9, 2007.