Individual
MARTHA J. LATTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
920 2ND AVE S, SUITE 400, MINNEAPOLIS, MN 55402
(612) 225-1512
(612) 225-1593
Mailing address
920 2ND AVE S, SUITE 400, MINNEAPOLIS, MN 55402-3318
(612) 225-1512
(612) 225-1593
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NPF7608
CA
363LF0000X
Family Nurse Practitioner
RN510498
CA
Other
Enumeration date
11/30/2005
Last updated
06/08/2018
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