Individual provider · Type 1 NPI
Haley Aydam Lattal
Pediatric Nurse Practitioner · Houston, TX
NPI number
1972140259
Active
Practice location
6701 Fannin St
Houston, TX 77030-2608
Mailing address
2450 Holcombe Blvd Ste NB34L
Houston, TX 77021-2039
Other practice locations
- 2450 Holcombe Blvd Ste NP-34L, Houston, TX 77021-2039 · (832) 828-3660
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 201910081 (TX) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1972140259
Haley Aydam Lattal's National Provider Identifier is 1972140259, issued on Dec 5, 2019. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Houston, TX. The record was last updated on Dec 5, 2019.