| NPI | 1881065001 |
|---|---|
| Professional Name | LATANYUA BLACKWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP-02941) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R178174) |
| 363LF0000X Nurse Practitioner, Family (Licence: ID 69311) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 350752) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: NM CNP-02941) | |
| Enumeration Date | 2015-10-14 |
| Last Update Date | 2022-11-15 |