Individual
LATITIA ANN GUTHALS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
4101 S 4TH ST, LEAVENWORTH, KS 66048-5014
(913) 682-2000
Mailing address
800 RAVENHILL DR, ATCHISON, KS 66002-9204
(913) 367-2131
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2014044173
MO
363LF0000X
Family Nurse Practitioner
Primary
53-76647-061
KS
Other
Enumeration date
01/01/2015
Last updated
05/31/2024
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