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NPI Code Detail

MEDICARE: JANET KATHERINE LATHAM R.N.

MEDICARE:   JANET KATHERINE LATHAM  R.N.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WR0006XRegistered Nurse First Assistant226613TX

General Provider Information

NPI Number : 1225100167
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANET KATHERINE LATHAM R.N.
Provider Business Mailing Address
First Line : P.O. BOX 961205
Second Line :
City : FORT WORTH
State : TX
Zip : 76161-1205
Country : US
Telephone Number : 817-740-8400
Fax Number : 817-336-6013
Provider Business Practice Location Address
First Line : 1001 COLLEGE AVE STE B
Second Line :
City : FORT WORTH
State : TX
Zip : 76104-3013
Country : US
Telephone Number : 817-336-6012
Fax Number : 817-336-6013
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/15/2006
Last Update Date : 09/23/2009

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Directions to “ JANET KATHERINE LATHAM R.N.” Practice Location

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