Lateka Nanine Stanley, is a
Community Health Worker based in Roseville, California. Lateka Nanine Stanley is licensed to practice in California (license number ) and her current practice location is
1620 Santa Clara Dr, Roseville, California. She can be reached at her office (for appointments etc.) via phone at
(916) 786-3750.
NPI number for Lateka Nanine Stanley is 1417689464 and her current mailing address is 1620 Santa Clara Dr Ste 100, Roseville, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1417689464.
Healthcare Provider's Profile
Full Name | Lateka Nanine Stanley |
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Gender | Female |
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Speciality | Community Health Worker |
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Location | 1620 Santa Clara Dr, Roseville, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1417689464
- Provider Enumeration Date: 06/28/2022
- Last Update Date: 06/27/2023
Medical Identifiers
Medical identifiers for Lateka Nanine Stanley such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417689464 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
172V00000X | Community Health Worker | (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lateka Nanine Stanley is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Lateka Nanine Stanley, 1620 Santa Clara Dr Ste 100, Roseville, CA 95661-3559 Ph: (916) 786-3750 | Lateka Nanine Stanley, 1620 Santa Clara Dr, Roseville, CA 95661-3558 Ph: (916) 786-3750 |
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