Healthcare Provider Details

I. General information

NPI: 1851093504
Provider Name (Legal Business Name): JULIE LATTARI RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/20/2023
Last Update Date: 03/20/2023
Certification Date: 03/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 ROCKLAND RD
WILMINGTON DE
19803-3607
US

IV. Provider business mailing address

1047 BALLINTREE LN
WEST CHESTER PA
19382-6975
US

V. Phone/Fax

Practice location:
  • Phone: 484-798-3290
  • Fax:
Mailing address:
  • Phone: 484-798-3290
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License NumberL1-0066482
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: