Individual
SHARON LYNN LATHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
12277 DE PAUL DR STE 305, BRIDGETON, MO 63044-2529
(314) 344-7585
Mailing address
PO BOX 955534, SAINT LOUIS, MO 63195-2786
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
098529
MO
Other
Enumeration date
11/14/2008
Last updated
10/23/2020
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