Provider Demographics
NPI:1346337318
Name:LATCH, ANN-MARIE (PA-C)
Entity Type:Individual
Prefix:
First Name:ANN-MARIE
Middle Name:
Last Name:LATCH
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 S ONEIDA ST APT 14-208
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80224-3117
Mailing Address - Country:US
Mailing Address - Phone:720-318-9941
Mailing Address - Fax:
Practice Address - Street 1:7550 W YALE AVE STE B100
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80227-3460
Practice Address - Country:US
Practice Address - Phone:303-935-4689
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2313363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical