BETHANY D LATAILLADE APRN NPI 1447897723

NPI Information

  • NPI: 1447897723
  • Provider Name: BETHANY D LATAILLADE, APRN
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 13775 SW 31ST ST
    MIRAMAR, FL
    ZIP 33027
  • Phone: (585) 967-7605

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NPI Details

Bethany D Lataillade, APRN is an adult health nurse practitioner in Miramar, FL with 6 years of experience. Bethany D Lataillade, APRN NPI is 1447897723. 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:

13775 SW 31ST ST
MIRAMAR, FL
ZIP 33027-976
Phone: (585) 967-7605

The NPI 1447897723 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/5/2019 and was last updated on 11/23/2020.

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
1363LA2100XNurse PractitionerAcute Care11003508FLORIDANo
2363LA2200XNurse PractitionerAdult Health11003508FLORIDAYes

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: 3/30/2025

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