Mr. Dalton Enrico Latham, NP-NURSEPRACTITION
Mr. Dalton Enrico Latham, NP-NURSEPRACTITION is a Nurse Practitioner in Berrien Springs, Michigan. Qualified in 2003, 23 years ago. Practices with Pine Ridge Indian Health Service Hospital, a 104-clinician group and accepts Medicare assignment. Licensed in Michigan.
- Years since qualifying
- 23
- Licensed in
- MI
- In the registry since
- 2018
- Specialties on file
- 2
Practice location Address checks out
8521 Kephart LnBerrien Springs, MI 49103
Phone: (269) 277-3260
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Health Nurse Practitioner (primary) | Taxonomy 363LA2200X · Licence 4704211443 (MI) |
|---|---|
| Family Nurse Practitioner | Taxonomy 363LF0000X · Licence 4704211443 (MI) |
Record details
| NPI number | 1194291179 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | NP-NURSEPRACTITION |
| Sole proprietor | No |
| NPI enumerated | October 17, 2018 |
| Last updated in NPPES | October 17, 2018 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2003 (23 years in practice) |
| Group practice | Pine Ridge Indian Health Service Hospital — 104 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |