Individual
LATIA M PIERCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1279 TAMMIE TER, VINELAND, NJ 08360-5521
(609) 888-6915
(856) 249-9573
Mailing address
1279 TAMMIE TER, VINELAND, NJ 08360-5521
(856) 899-7772
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
26NR17683300
NJ
363LF0000X
Family Nurse Practitioner
26NJ00620600
NJ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ00620600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0506559
—
NJ
Enumeration date
02/25/2016
Last updated
02/06/2024
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