Individual
CAROLYN P LATHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NPP, RN
Contact information
Practice address
1901 VESTAL PKWY E STE 2W, VESTAL, NY 13850-1966
(607) 341-4950
(607) 341-4933
Mailing address
349 STARLIGHT LAKE RD, STARLIGHT, PA 18461-1045
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
400888
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
400888
—
NY
Enumeration date
06/04/2007
Last updated
11/17/2023
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