Healthcare Provider Details

I. General information

NPI: 1932784451
Provider Name (Legal Business Name): LATARONETTE ALFORD CNA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/16/2021
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1402 CHICOPEE RD LOT 97
BENSON NC
27504-2163
US

IV. Provider business mailing address

204 E MANN ST
BENSON NC
27504-1912
US

V. Phone/Fax

Practice location:
  • Phone: 919-464-0843
  • Fax:
Mailing address:
  • Phone: 919-464-0843
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number34D2215985
License Number StateNC
# 3
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: