Provider Demographics
NPI:1306395439
Name:LATOUCHE, VIRGINIA (NP)
Entity Type:Individual
Prefix:
First Name:VIRGINIA
Middle Name:
Last Name:LATOUCHE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 3407
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47733-3407
Mailing Address - Country:US
Mailing Address - Phone:812-450-6815
Mailing Address - Fax:812-450-6822
Practice Address - Street 1:7307 E COLUMBIA ST STE 101
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47715-9141
Practice Address - Country:US
Practice Address - Phone:812-473-1737
Practice Address - Fax:812-473-2432
Is Sole Proprietor?:No
Enumeration Date:2016-09-30
Last Update Date:2020-06-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IN71006631A363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner