Individual
NICOLE LATGIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
13698599-1206
UT
363A00000X
Physician Assistant
25MP00641600
NJ
363AS0400X
Surgical Physician Assistant
Primary
25MP00641600
NJ
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
07/20/2021
Last updated
03/27/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up