Healthcare Provider Details

I. General information

NPI: 1346720141
Provider Name (Legal Business Name): LATARSHA ROCHELLE CARTER-ROBINSON APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LATARSHA ROCHELLE CARTER-ROBINSON RN APRN

II. Dates (important events)

Enumeration Date: 08/21/2018
Last Update Date: 01/23/2020
Certification Date: 01/23/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1947 E MARKET ST
WARREN OH
44483-6644
US

IV. Provider business mailing address

446 MORGAN ST
CINCINNATI OH
45206-2348
US

V. Phone/Fax

Practice location:
  • Phone: 330-965-9999
  • Fax: 330-757-0000
Mailing address:
  • Phone: 513-834-7063
  • Fax: 513-873-1567

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.371832
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number023539
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN.CNP.023539
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: