Individual
LATASHA MICHELE WESLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
83 COLUMBIA ST, ORLANDO, FL 32806-1101
(321) 843-3220
(321) 843-3210
Mailing address
83 COLUMBIA ST, ORLANDO, FL 32806-1101
(321) 843-3220
(321) 843-3210
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
ARNP9219394
FL
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP9219394
FL
Other
Enumeration date
09/30/2013
Last updated
09/06/2016
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