# DR. LATASHA LYNNE FREEMAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1043838527
- **Gender:** F
- **Credential:** DNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 242758 | AZ | Yes |

## Other

- **Enumeration date:** 07/10/2020
- **Last updated:** 12/15/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 242758 | NP LICENSE | AZ |