Provider Demographics
NPI:1184694960
Name:THARRINGTON, LATICIA ANN (NP)
Entity type:Individual
Prefix:MS
First Name:LATICIA
Middle Name:ANN
Last Name:THARRINGTON
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
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Mailing Address - Street 1:3050 REGENT BLVD STE 400
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75063-5808
Mailing Address - Country:US
Mailing Address - Phone:214-689-8067
Mailing Address - Fax:877-289-1190
Practice Address - Street 1:3523 RAWDON DR
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27713-1409
Practice Address - Country:US
Practice Address - Phone:919-544-1603
Practice Address - Fax:919-484-0565
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-25
Last Update Date:2014-08-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC5000713363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner