Individual
MRS. LATRIVIA GUINN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
1111 W ADOUE ST, ALVIN, TX 77511-2718
(281) 824-1480
(281) 220-6407
Mailing address
19002 MISSION PARK DR APT 1214, RICHMOND, TX 77407-3115
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704303679
MI
163WP0808X
Psychiatric/Mental Health Registered Nurse
927672
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1052572
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
4704303679
MI
Other
Enumeration date
03/12/2015
Last updated
05/22/2024
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