Individual
MRS. LATOSHA DSHELL TRIPLET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1824 N STREAMLINE DR, VIRGINIA BEACH, VA 23454-4433
(757) 753-2915
Mailing address
1826 VETERANS BLVD, DUBLIN, GA 31021-3620
(478) 272-1210
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
0001219620
VA
363LA2200X
Adult Health Nurse Practitioner
Primary
RN260831
GA
363LG0600X
Gerontology Nurse Practitioner
RN260831
GA
Other
Enumeration date
02/08/2010
Last updated
04/16/2019
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