NPI 1124429584

Latisha Sandefur, LPN

Practitioner Licensed Practical Nurse Huntsville, AL

Practice location

Address: 4040 Memorial Pkwy SW, Huntsville, AL 35802-4364
Phone: (256) 217-9958
Fax: (256) 705-6477

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence 2-057058 (AL)

Other Licensed Practical Nurse providers in Alabama →

Registry record

NPI: 1124429584
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Sep 2014
Record last updated: 4 Sep 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.