person
Bethany D Lataillade, APRN
Adult Health Nurse Practitioner in Miramar, Florida
NPI 1447897723

Bethany D Lataillade is an Adult Health Nurse Practitioner based in Miramar, FL and is specialized in Adult Health. Bethany D Lataillade practices in Miramar, FL and has the professional credentials of APRN. The NPI Number for Bethany D Lataillade is 1447897723 and holds a License No. 11003508 (Florida).

The current practice location address for Bethany D Lataillade is 13775 Sw 31St St, Miramar, FL and can be reached out via phone at 585-967-7605. You can also correspond with Bethany D Lataillade through the mailing address at 13775 SW 31ST ST, MIRAMAR, FL - 33027-3976 (mailing address contact number: 585-967-7605).

Location: 13775 Sw 31St St, Miramar, FL, 33027-3976
person
Provider Profile Details
NPI Number
1447897723
Provider Name
Bethany D Lataillade
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
13775 Sw 31St St, Miramar, FL, 33027-3976
Phone Number
585-967-7605
Fax Number
Provider Enumeration Date
12/05/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
13775 Sw 31St St
City
State
Zip
33027-3976
Phone Number
585-967-7605
Fax Number
person
Provider Business Mailing Address Details
Address
13775 Sw 31St St
City
State
Zip
33027-3976
Phone Number
585-967-7605
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
License No.
11003508 (Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
11003508 (Florida)
Definition
Definition to come...
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