Latrice Danielle Anderson

Individual provider Active NPI Case Manager/Care Coordinator · Saint Clair, MI

NPI 1992474134 · NPPES record last updated Sep 10, 2021

Key facts

NPI
1992474134
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
1432 S Riverside Ave
Saint Clair, MI 48079-5137
Phone
(810) 841-0708
NPI assigned
Sep 10, 2021
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

1432 S Riverside Ave
Saint Clair, MI 48079-5137

Mailing address

1432 S Riverside Ave
Saint Clair, MI 48079-5137
Phone (810) 841-0708

Other providers in Saint Clair, MI

All providers in Saint Clair, MI · Case Manager/Care Coordinator in Michigan

Sources for this page

Verify at the official NPI Registry.