Latrishia Edmond
Individual provider Active NPI Licensed Vocational Nurse · La Marque, TX
NPI 1962069096 · NPPES record last updated May 23, 2019
Key facts
- NPI
- 1962069096
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Vocational Nurse 164X00000X
- License
- 317647 (TX)
- Practice address
- 604 Honeysuckle Dr
La Marque, TX 77568-4449 - Phone
- (409) 771-9736
- NPI assigned
- May 23, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 317647 | TX | MD | Licensed Vocational Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 317647 | TX | Yes |
Addresses
Primary practice location
604 Honeysuckle Dr
La Marque, TX 77568-4449
Mailing address
604 Honeysuckle Dr
La Marque, TX 77568-4449
Phone (409) 771-9736
Other providers in La Marque, TX
- Tisha Day
- Jill Marie Christine Dewitt
- Doll House Enterprise, L.L.C.
- Kristi Leeann Doss
- Dva Renal Healthcare Inc
- Eyeland Eyecare PLLC
- Destanie Florence Bankston
- Michelle Forline
- Galveston Baptist Association
- Geriatric Physicians Care, P.a.
All providers in La Marque, TX · Licensed Vocational Nurse in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 23, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.