Individual
LATASHI GUNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
1108 IZAAK WALTON RD, MADISON HEIGHTS, VA 24572-5733
(434) 382-9974
Mailing address
1108 IZAAK WALTON RD, MADISON HEIGHTS, VA 24572-5733
(434) 382-9974
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024184981
VA
Other
Enumeration date
11/04/2022
Last updated
11/04/2022
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