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Organization
VENICE BEACH LLC
Active
Organization
VENICE BEACH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN LATCHAM (OWNER)
(515) 884-7849
Entity
Organization
Contact information
Practice address
5465 MILLS CIVIC PKWY STE 243, WEST DES MOINES, IA 50266-5320
(515) 884-7849
Mailing address
5465 MILLS CIVIC PKWY STE 243, WEST DES MOINES, IA 50266-5320
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/06/2023
Last updated
12/16/2025
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