NPI 1568239242

Latisha Marie Abbott Edison

Practitioner Nursing Home Administrator Portsmouth, VA

Practice location

Address: 4000 Dartmouth St, Portsmouth, VA 23707-3816
Phone: (757) 920-8841

Registered specialties

Nursing Home Administrator Primary

Nursing Service Related Providers Taxonomy 376G00000X

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Registry record

NPI: 1568239242
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Dec 2023
Record last updated: 4 Dec 2023

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.