Individual
MRS. JEAN MARIE LATHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, CNRN, CNP
Contact information
Practice address
933 BRADBURY SE, SUITE 2222, ALBUQUERQUE, NM 87106-2745
(505) 272-3120
(505) 272-8060
Mailing address
933 BRADBURY DR SE, SUITE 2222, ALBUQUERQUE, NM 87106-4374
(505) 272-3120
(505) 272-8060
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
R38001
NM
Other
Enumeration date
02/01/2009
Last updated
10/31/2011
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