person
Mrs. Shannon Michal Latta, ARNP
Family Nurse Practitioner in Marysville, Washington
NPI 1194956672

Shannon Michal Latta is a Family Nurse Practitioner based in Everett, WA and is specialized in Family. Shannon Michal Latta practices in Marysville, WA and has the professional credentials of ARNP. The NPI Number for Shannon Michal Latta is 1194956672 and holds a License No. AP60098107 (Washington).

The current practice location address for Shannon Michal Latta is 4420 76Th St Ne, Marysville, WA and can be reached out via phone at 360-651-7490.

Location: 4420 76Th St Ne, Marysville, WA, 98206-5127
person
Provider Profile Details
NPI Number
1194956672
Provider Name
Shannon Michal Latta
Credential
ARNP
Provider Entity Type
Individual
Gender
Female
Address
4420 76Th St Ne, Marysville, WA, 98206-5127
Phone Number
360-651-7490
Fax Number
Provider Enumeration Date
08/02/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
9662628 05 WA
0254476 01 WA LABOR & INDUSTRIES
2003611 05 WA
institution
Provider Business Practice Location Address Details
Address
4420 76Th St Ne
City
State
Zip
98270-3726
Phone Number
360-651-7490
Fax Number
person
Provider Business Mailing Address Details
Address
4420 76Th St Ne
City
State
Zip
98270-3726
Phone Number
360-651-7490
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
AP60098107 (Washington)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
AP60098107 (Washington)
Definition
Definition to come...
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