| Dr Latasha Lynne Freeman, DNP | |
| 1919 E Thomas Rd Bldg 5th, Phoenix, AZ 85016-7710 | |
| (602) 933-0393 | |
| (602) 933-5525 | 
| Full Name | Dr Latasha Lynne Freeman | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Psychiatric/mental Health | 
| Location | 1919 E Thomas Rd Bldg 5th, Phoenix, Arizona | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1043838527 | NPI | - | NPPES | 
| 242758 | Other | AZ | NP LICENSE | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 242758 (Arizona) | Primary | 
| Entity Name | Phoenix Children's Hospital | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1922112044 PECOS PAC ID: 0446278584 Enrollment ID: O20051107000704 | 
| Entity Name | Valera Medical Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1437782349 PECOS PAC ID: 0547690521 Enrollment ID: O20220215001193 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Latasha Lynne Freeman, DNP 3200 E Camelback Rd Ste 250, Phoenix, AZ 85018-2327 Ph: (602) 933-1814 | Dr Latasha Lynne Freeman, DNP 1919 E Thomas Rd Bldg 5th, Phoenix, AZ 85016-7710 Ph: (602) 933-0393 | 
| Ms. Karla D Wax, N.P.-C. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1331 N 7th St, Suite 275, Phoenix, AZ 85006 Phone: 602-254-3151 Fax: 602-256-9581 | |
| Gia Kay Thompson, F.N.P Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3003 N Central Ave, Suite 800, Phoenix, AZ 85012 Phone: 602-462-1132 Fax: 602-462-1186 | |
| Michele A Riep, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3003 N Central Ave, Suite 800, Phoenix, AZ 85012 Phone: 602-462-1132 | |
| Tyler Ann Brockhoff, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1710 N 16th St Ste F1, Phoenix, AZ 85006 Phone: 623-224-3618 Fax: 623-244-1595 | |
| Rebecca Anne Shaw, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16620 N 40th St Ste E1, Phoenix, AZ 85032 Phone: 602-464-9576 Fax: 480-428-0475 | |
| Susannamma Lijan, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6850 W Indian School Rd, Phoenix, AZ 85033 Phone: 623-469-1331 | |
| Ms. Aldijana Bjelobrkovic, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4350 N 19th Ave Ste 3, Phoenix, AZ 85015 Phone: 602-279-4975 Fax: 602-279-1108 |