Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Micah Latham, APRN-CNP

Individual provider Family Nurse Practitioner · NPI 1730783606

Mr. Micah Latham, APRN-CNP is a Nurse Practitioner in Malvern, Arkansas. Qualified in 2020, 6 years ago. Practices with Shc Medical Partners of Arkansas LLC, a 29-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
6
Licensed in
AR
In the registry since
2020
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Practice location Address checks out

1208 Brownwood St
Malvern, AR 72104-2202
Phone: (540) 446-9297
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 213314 (AR)

Record details

NPI number1730783606
Entity typeIndividual (Type 1)
GenderMale
Credentials APRN-CNP
Sole proprietorNo
NPI enumeratedNovember 23, 2020
Last updated in NPPESNovember 23, 2020
Certification dateOctober 30, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Shc Medical Partners Of Arkansas Llc — 29 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Malvern