Doctor Name: | CHRISTINE NICHOLE LATTUADA |
NPI Number: | 1003113291 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PNP |
License Number: | RN273568 |
Business Practice Address: | 1 Pearl St Suite 2000 Brockton, MA - 023012864 |
Business Phone Number: | 5088948577 |
Business Fax Number: | 5088948578 |
Mailing Address: | 1 Pearl St, Suite 2000 BROCKTON |
State: | MA |
Postal Code: | 023012864 |
Phone Number: | 5088948577 |
Fax Number: | 5088948578 |
NPI Enumeration Date: | 02/24/2011 |
NPI Last Update Date: | 02/24/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | RN273568 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |