Provider Demographics
NPI:1346720141
Name:CARTER-ROBINSON, LATARSHA ROCHELLE (APRN)
Entity Type:Individual
Prefix:MRS
First Name:LATARSHA
Middle Name:ROCHELLE
Last Name:CARTER-ROBINSON
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:MRS
Other - First Name:LATARSHA
Other - Middle Name:ROCHELLE
Other - Last Name:CARTER-ROBINSON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN APRN
Mailing Address - Street 1:446 MORGAN ST
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45206-2348
Mailing Address - Country:US
Mailing Address - Phone:513-834-7063
Mailing Address - Fax:513-873-1567
Practice Address - Street 1:1947 E MARKET ST
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:OH
Practice Address - Zip Code:44483-6644
Practice Address - Country:US
Practice Address - Phone:330-965-9999
Practice Address - Fax:330-757-0000
Is Sole Proprietor?:No
Enumeration Date:2018-08-21
Last Update Date:2020-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.371832163W00000X
OH023539363LF0000X
OHAPRN.CNP.023539363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0336415Medicaid