Provider Demographics
NPI:1295383123
Name:LATTA, EMILY (CNM)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:LATTA
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:
Other - Last Name:MARHSALL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5450 FRANTZ RD STE 360
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43016-4141
Mailing Address - Country:US
Mailing Address - Phone:614-544-6155
Mailing Address - Fax:614-544-6370
Practice Address - Street 1:75 HOSPITAL DR STE 260
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:OH
Practice Address - Zip Code:45701-2866
Practice Address - Country:US
Practice Address - Phone:740-594-8819
Practice Address - Fax:740-594-4099
Is Sole Proprietor?:No
Enumeration Date:2019-09-04
Last Update Date:2022-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHLE-00029611367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife