Kerriann Latten, NP is a
Pediatrics based in Stony Brook, New York. Kerriann Latten is licensed to practice in New York (license number 342196) and her current practice location is
2500 Nesconset Hwy Bldg 14, Stony Brook, New York. She can be reached at her office (for appointments etc.) via phone at
(316) 896-2266.
NPI number for Kerriann Latten is 1790200020 and her current mailing address is 2500 Nesconset Hwy Bldg 14, Stony Brook, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1790200020.
Provider's Profile
| Full Name | Kerriann Latten |
|---|
| Gender | Female |
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| Speciality | Pediatrics |
|---|
| Location | 2500 Nesconset Hwy Bldg 14, Stony Brook, New York |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1790200020
- Provider Enumeration Date: 08/08/2017
- Last Update Date: 03/01/2024
Medical Identifiers
Medical identifiers for Kerriann Latten such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790200020 | NPI | - | NPPES |
| 04966625 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | 342196 (New York) | Secondary |
| 208000000X | Pediatrics | 342196 (New York) | 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. Kerriann Latten 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 |
|---|
Kerriann Latten, NP
2500 Nesconset Hwy Bldg 14,
Stony Brook, NY 11790-2555
Ph: (631) 689-6226 | Kerriann Latten, NP
2500 Nesconset Hwy Bldg 14,
Stony Brook, NY 11790-2555
Ph: (316) 896-2266 |
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