LATRESIA FAIR RN NPI 1902488778

NPI Information

  • NPI: 1902488778
  • Provider Name: LATRESIA FAIR, RN
  • Classification: Registered Nurse - 163WI0500X
  • Specialization: Infusion Therapy
  • Entity Type: Individual
  • Address: 1303 PARKER RD SE
    CONYERS, GA
    ZIP 30094
  • Phone: (786) 351-9340

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NPI Details

Latresia Fair, RN is an infusion therapy registered nurse in Conyers, GA. Latresia Fair, RN NPI is 1902488778. 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:

1303 PARKER RD SE
CONYERS, GA
ZIP 30094-984
Phone: (786) 351-9340

The enumeration date for this NPI number is 4/22/2021 and was last updated on 4/22/2021.

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
1163W00000XRegistered Nurse262012GEORGIANo
2163WC1500XRegistered NurseCommunity Health262012GEORGIANo
3163WH0200XRegistered NurseHome Health262012GEORGIANo
4163WI0500XRegistered NurseInfusion Therapy262012GEORGIAYes

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
1863208181MEDICAIDGEORGIA
2863208181OTHERGEORGIAINSURANCE COMPANIES

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: 11/21/2025

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