| Mrs Laura Jean Lata, ANP | |
|
810 N. Sixth Avenue, Sandpoint, ID 83864 | |
| (208) 265-2242 | |
| Not Available |
| Full Name | Mrs Laura Jean Lata |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 21 Years |
| Location | 810 N. Sixth Avenue, Sandpoint, Idaho |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649224783 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | NP-1047A (Idaho) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Masters Family Medical, Pllc | 2860830932 | 3 |
| Entity Name | Masters Family Medical, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902669682 PECOS PAC ID: 2860830932 Enrollment ID: O20240409002118 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Laura Jean Lata, ANP 1052 W Mill Ave, Coeur D Alene, ID 83814-2444 Ph: (208) 664-3301 | Mrs Laura Jean Lata, ANP 810 N. Sixth Avenue, Sandpoint, ID 83864 Ph: (208) 265-2242 |
Ms. Ann L Cox, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 810 N. Sixth Avenue, Sandpoint, ID 83864 Phone: 208-265-2242 Fax: 208-265-8214 | |
Erin Bass, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 810 N. Sixth Avenue, Sandpoint, ID 83864 Phone: 208-265-2242 Fax: 208-265-8214 | |
Kimberly Amelia Rutland, WHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 810 Sixth Ave, Sandpoint, ID 83864 Phone: 208-265-6252 Fax: 208-265-8214 | |
Tammy Lynn Undiemi, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 810 Sixth Ave, Sandpoint, ID 83864 Phone: 208-263-3410 Fax: 208-255-4842 | |
Natasha M Splaine-talbott, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 606 N 3rd Ave Ste 203, Sandpoint, ID 83864 Phone: 304-276-9937 | |
Denise White, DNP, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 606 N Third Ave Ste 203, Sandpoint, ID 83864 Phone: 208-265-1046 Fax: 208-265-3756 | |
Anna Mena-schaures, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1013 Lake St Ste 102, Sandpoint, ID 83864 Phone: 208-597-7910 |