Individual
LATWANA MATTHEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1640 BREAZEALE SPRINGS ST, NATCHITOCHES, LA 71457-4278
(318) 352-9299
Mailing address
1640 BREAZEALE SPRINGS ST, NATCHITOCHES, LA 71457-4278
(318) 352-9299
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP09035
LA
363L00000X
Nurse Practitioner
AP134054
TX
363LF0000X
Family Nurse Practitioner
09035
LA
363LF0000X
Family Nurse Practitioner
Primary
AP09035
LA
Other
Enumeration date
11/27/2016
Last updated
03/21/2023
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