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General NPI Number Information
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NPI Number | 1205163920
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Entity Type | Individual
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Provider Name | LATASHA KIANA PARISH APNP
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Gender | Female
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Dates
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Enumeration Date | 11/17/2009
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Last Update Date | 12/05/2024
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Provider Practice Location Address
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Address Line | 11805 W HAMPTON AVE STE 103
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City | MILWAUKEE
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State | WI
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Zip | 53225-3612
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Country | US
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Telephone | 414-909-0859
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Fax | 414-509-6281
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Provider Business Mailing Address
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Address Line | 11805 W HAMPTON AVE STE 103
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City | MILWAUKEE
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State | WI
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Zip | 53225-3612
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Country | US
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Telephone | 414-909-0859
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Fax | 414-509-6281
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 162176
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 5161-33
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 5161-33
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License Number State | WI
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