LATOSHA DENT


Address: 1812 W Burbank Blvd # 5300, Burbank, CA 91506-1315
Phone: 2064308118

LATOSHA DENT (NPI# 1578033593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578033593
Entity Type Individual
Full Name LATOSHA DENT
Practice Address 1812 W Burbank Blvd # 5300
Burbank
CA 91506-1315
Practice Telephone 2064308118
Enumeration Date 2018-12-03
Last Update Date 2020-07-20
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
95010715 CA Physician Assistants & Advanced Practice Nursing Providers
N 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
AP60903459 WA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA 5966342 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
4730 University Way Ne Ste 104, Seattle, WA 981054424 2066270995

Office Location

Street Address 1812 W BURBANK BLVD # 5300
City BURBANK
State CA
Zip Code 91506-1315

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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1255404810 Elizabeth D Shapard Nurse Practitioner 3304 W Burbank Blvd, Burbank, CA 91505-2230 2006-11-15

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Competitor

Search similar providers

City BURBANK
Zip Code 91506

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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