Individual provider · Type 1 NPI

Latishia Renee-Denise Berry, ANP-BC

Nurse Practitioner · Troy, MI

NPI number 1649614009 Active

Practice location

880 W Long Lake Rd
Troy, MI 48098-4504

Fax (562) 528-5595

Mailing address

200 Oceangate Ste 100
Long Beach, CA 90802-4317

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X4704277302 (MI)

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…

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About NPI 1649614009

Latishia Renee-Denise Berry, ANP-BC's National Provider Identifier is 1649614009, issued on Apr 29, 2013. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Troy, MI. The record was last updated on Jan 11, 2018.