Debra M Latzen, RN

Individual provider Active NPI Home Health Registered Nurse · Ridge, NY

NPI 1295079218 · NPPES record last updated May 26, 2026

Key facts

NPI
1295079218
Entity type
Individual (NPI type 1)
Primary specialty
Home Health Registered Nurse 163WH0200X
License
606902-1 (NY)
Practice address
205 Glen Dr
Ridge, NY 11961-1636
Phone
(516) 941-5946
NPI assigned
Nov 15, 2012
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
606902-1NYMDHome Health Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 606902-1 NY Yes

Addresses

Primary practice location

205 Glen Dr
Ridge, NY 11961-1636

Mailing address

205 Glen Dr
Ridge, NY 11961-1636
Phone (516) 941-5946

Other providers in Ridge, NY

All providers in Ridge, NY · Home Health Registered Nurse in New York

Sources for this page

Verify at the official NPI Registry.