Individual
DR. LATASHA LYNNE FREEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
1919 E THOMAS RD BLDG 5TH, PHOENIX, AZ 85016-7710
(602) 933-0393
(602) 933-5525
Mailing address
3200 E CAMELBACK RD STE 250, PHOENIX, AZ 85018-2327
(602) 933-1814
(602) 933-8972
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
242758
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
242758
NP LICENSE
AZ
Enumeration date
07/10/2020
Last updated
12/15/2020
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