Healthcare Provider Details

I. General information

NPI: 1831016989
Provider Name (Legal Business Name): SARAH E LATCHAM NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 HERITAGE WAY STE 2300
KALISPELL MT
59901-3167
US

IV. Provider business mailing address

350 HERITAGE WAY STE 2300
KALISPELL MT
59901-3167
US

V. Phone/Fax

Practice location:
  • Phone: 406-751-5455
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberNUR-RN-LIC-160198
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: