Individual
LATIA WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
5517 21ST AVE W STE F, BRADENTON, FL 34209-5604
(941) 932-8152
Mailing address
5517 21ST AVE W STE F, BRADENTON, FL 34209-5604
(941) 932-8152
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
11014990
FL
Other
Enumeration date
04/09/2010
Last updated
11/07/2022
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