Individual provider · Type 1 NPI

Latanya Marie Bartholomew, CPNP-PC

Pediatric Nurse Practitioner · Jackson Heights, NY

NPI number 1760055123 Active

Practice location

73-15 Northern Blvd
Jackson Heights, NY 11372

Call (718) 454-2788 Map

Mailing address

PO Box 350043
Jamaica, NY 11435

Other practice locations

56-45 Main Street, Flushing, NY 11355 · (718) 670-1333

Specialties and licenses

Taxonomy	Code	License
Pediatric Nurse Practitioner Primary	363LP0200X	381947 (NY)

Pediatric Nurse Practitioner: Definition to come...

About NPI 1760055123

Latanya Marie Bartholomew, CPNP-PC's National Provider Identifier is 1760055123, issued on Jul 22, 2021. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Jackson Heights, NY. The record was last updated on Dec 30, 2022.