Individual
DR. DEBORAH E LATRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1111 RONALD REAGAN PKWY, STE C1600, AVON, IN 46123-7085
(317) 217-2500
(317) 217-2515
Mailing address
250 N SHADELAND AVE, STE 130 PROVIDER ENROLLMENT, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
28052995
IN
363L00000X
Nurse Practitioner
71003162A
IN
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
71003162A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200942440
—
IN
Enumeration date
06/10/2006
Last updated
05/24/2019
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