LATISHA SHACONNA ANDERSON PMHNP NPI 1346822822

NPI Information

NPI: 1346822822
Provider Name: LATISHA SHACONNA ANDERSON, PMHNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
6350 BERGOT ST APT 101
RALEIGH, NC
ZIP 27616
Phone: (919) 255-0410
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Latisha Shaconna Anderson, PMHNP is a psychiatric/mental health nurse practitioner in Raleigh, NC. Latisha Shaconna Anderson, PMHNP NPI is 1346822822. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6350 BERGOT ST APT 101
RALEIGH, NC
ZIP 27616-465
Phone: (919) 255-0410

The NPI 1346822822 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 4/24/2021 and was last updated on 4/24/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	233765	NORTH CAROLINA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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