Latiere Wallace, APRN
Latiere Wallace, APRN is a Nurse Practitioner in Dade City, Florida. Qualified in 2022, 4 years ago. Practices with Baycare Behavioral Health Inc, a 59-clinician group and accepts Medicare assignment. Licensed in Florida.
- Years since qualifying
- 4
- Licensed in
- FL
- In the registry since
- 2023
What do these letters mean?
- APRN — Advanced Practice Registered Nurse
- The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.
Practice location Address checks out
14527 7th StDade City, FL 33523-3102
Phone: (352) 521-1474
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X · Licence 11023599 (FL) |
|---|
Record details
| NPI number | 1518673854 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | APRN |
| Sole proprietor | No |
| NPI enumerated | January 30, 2023 |
| Last updated in NPPES | May 11, 2023 |
| Certification date | May 11, 2023 |
| Mailing address | 5222 Blue Roan Way, Wesley Chapel, FL 33544-1829 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Group practice | Baycare Behavioral Health Inc — 59 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 5 on file with Medicare |
Other providers in Dade City
-
Roslyn Karen Correll-Miller, NP
14527 7th St, Dade City, FL 33523-3102 · (352) 521-1474
-
Jessica Lynn Faber, PMNHP
14527 7th St, Dade City, FL 33523-3102 · (352) 521-1474
-
Still Waters Psychiatric Mental Health, LLC
35010 Prospect Rd, Dade City, FL 33525-8210 · (352) 534-6970