Individual provider · Type 1 NPI
Laura Jean Lata, N.P.
Nurse Practitioner · Bonners Ferry, ID
Practice location
6615 Comanche Street
Bonners Ferry, ID 83805
Fax (931) 879-3903
Mailing address
PO Box 2861
Crossville, TN 38557-2861
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | NP-1047A (ID) |
| Nurse Practitioner | 363L00000X | 12540 (TN) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
2 other providers at this address
About NPI 1649224783
Laura Jean Lata, N.P.'s National Provider Identifier is 1649224783, issued on May 22, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Bonners Ferry, ID. The record was last updated on Jul 28, 2026.