MIA LATHAM NP NPI 1487690236

NPI Information

NPI: 1487690236
Provider Name: MIA LATHAM, NP
Classification: Nurse Practitioner - 363LW0102X
Entity Type: Individual

Specialization: Women's Health

Address:
3601 4TH ST
SUITE 3B100
LUBBOCK, TX
ZIP 79430
Phone: (806) 743-2340
Get Directions

Mia Latham, NP is a women's health nurse practitioner in Lubbock, TX. Mia Latham, NP NPI is 1487690236. 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:

3601 4TH ST
SUITE 3B100
LUBBOCK, TX
ZIP 79430-002
Phone: (806) 743-2340
Fax: (806) 743-1775

The enumeration date for this NPI number is 6/21/2006 and was last updated on 7/9/2007.

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	363LW0102X	Nurse Practitioner	Women's Health	547826	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	28759834	MEDICAID	NEW MEXICO
2	8Y0080	OTHER	TEXAS	HMO BLUE
3	8Y0082	OTHER	TEXAS	BC/BS

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: 11/14/2023

NPI Synchronization or Removal

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