Individual provider · Type 1 NPI
Shantel Latta, FNP-C
Family Nurse Practitioner · Blackstone, VA
NPI number
1962092932
Active
Practice location
103 E Broad St
Blackstone, VA 23824-1815
Mailing address
PO Box 635
Blackstone, VA 23824-0635
Other practice locations
- 10800 Iron Bridge Rd, Chester, VA 23831-1628 · (804) 318-5589
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 0024180790 (VA) |
Family Nurse Practitioner: Definition to come...
2 other providers at this address
Other family nurse practitioner providers in Blackstone
About NPI 1962092932
Shantel Latta, FNP-C's National Provider Identifier is 1962092932, issued on Jan 22, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Blackstone, VA. The record was last updated on Dec 9, 2023.