Individual
LATEASHA NICOLE PARISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
557 SANDHURST DR, FAYETTEVILLE, NC 28304-4433
(910) 484-8114
(910) 221-0564
Mailing address
557 SANDHURST DR, FAYETTEVILLE, NC 28304-4433
(910) 484-8114
(910) 221-0564
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
234466
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000000
NEPHROLOGY
NC
Enumeration date
07/07/2021
Last updated
07/07/2021
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