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Latisha Shaconna Anderson

NPI Registration Record

Provider / OrganizationNPIDate Certified
LATISHA SHACONNA ANDERSON13468228222021-04-24

Latisha Shaconna Anderson is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1346822822. Registration indicates Latisha Shaconna Anderson is a provider of access to mental health/behavioral health providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Psych/Mental Health, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Psych/Mental Health, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )

Entity TypeIndividual
Provider Name Latisha Shaconna Anderson PMHNP
Practice Office Address6350 BERGOT ST APT 101
RALEIGH, NC US
Practice Office Telephone9192550410
Mailing Address6350 BERGOT ST APT 101
RALEIGH, NC 276163465 US
Business Telephone9192550410
HPT Codes
CodePractice
License No
State
363LP0808X PRIMARYAccess to Mental Health/Behavioral Health Providers
Physician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Physician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Nurse Practitioner: Psych/Mental Health

All Other Specialties & Provider Types

Nurse Practitioner Psych/Mental Health
Physician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
233765
NC
OPI Codes

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