Individual
MS. ANGELA MARIE LATTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
333 N 1ST ST STE 260, BOISE, ID 83702-6132
(208) 345-3136
(208) 345-0984
Mailing address
333 N 1ST ST STE 260, BOISE, ID 83702-6132
(208) 345-3136
(208) 345-0984
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1277A
ID
Other
Enumeration date
05/28/2013
Last updated
05/28/2013
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