Individual
VICKIE L LATHERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
20 SHERATON DR, ALTOONA, PA 16601-9316
(814) 946-5411
(814) 940-8417
Mailing address
201 CHESTNUT AVE, ALTOONA, PA 16601-4927
(814) 946-5411
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN311834L
PA
363LA2100X
Acute Care Nurse Practitioner
Primary
SP008783
PA
Other
Enumeration date
03/17/2006
Last updated
04/19/2021
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