Provider Demographics
NPI:1467560904
Name:LATIMER, FRANCES A (MS RN CS)
Entity Type:Individual
Prefix:MRS
First Name:FRANCES
Middle Name:A
Last Name:LATIMER
Suffix:
Gender:F
Credentials:MS RN CS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2407 CRANSTON ST
Mailing Address - Street 2:
Mailing Address - City:CRANSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02920
Mailing Address - Country:US
Mailing Address - Phone:401-942-9482
Mailing Address - Fax:
Practice Address - Street 1:18 ROBERTS ST
Practice Address - Street 2:THE KENT CENTER
Practice Address - City:WEST WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02893
Practice Address - Country:US
Practice Address - Phone:401-586-6734
Practice Address - Fax:401-586-6736
Is Sole Proprietor?:No
Enumeration Date:2006-08-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIRN20370163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
RIFL02810Medicaid