Individual
MRS. LA'TRINA MONIQUE WITHERSPOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3310 SISKEY PKWY, MATTHEWS, NC 28105-3222
(704) 849-2271
Mailing address
7528 SPRING SPRUCE LN, CHARLOTTE, NC 28227-1417
(980) 348-4220
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5014285
NC
363LF0000X
Family Nurse Practitioner
WITH-WSMI8
NC
Other
Enumeration date
04/05/2021
Last updated
08/09/2021
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