Individual provider · Type 1 NPI
Latasha Tillman Rials, NP
Psychiatric/Mental Health Nurse Practitioner · Charlotte, NC
NPI number
1710370689
Active
Practice location
501 Billingsley Rd, Ste B
Charlotte, NC 28211-1009
Mailing address
PO Box 19305
Charlotte, NC 28219-9305
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 5007494 (NC) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 5007494 (NC) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1710370689
Latasha Tillman Rials, NP's National Provider Identifier is 1710370689, issued on Mar 16, 2015. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Charlotte, NC. The record was last updated on Jul 15, 2024.