Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LATIA TISDALE
Active Sole ProprietorLATIA TISDALE is a Specialist healthcare provider located in NORTH CHESTERFIELD, Virginia. NPI 1699307520 is currently active in the NPPES registry. Verify at CMS.
Specialist · NORTH CHESTERFIELD, VA
Registration Details
- NPI Number
- 1699307520
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 8, 2020 (6.4713544733579 yrs)
- Last Updated
- Feb 8, 2020
- License
-
1204019942 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2520 PROFESSIONAL RD STE DNORTH CHESTERFIELD, VA, 232353267Browse VA providers · Browse ZIP 23235
- Phone
- 8046014447
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in NORTH CHESTERFIELD, VA
| Name | Credential | NPI |
|---|---|---|
| BARRY L. KATCHINOFF | M.D. | 1821056623 |
| MS. MELISSA LYN OWENS | MT-BC | 1144597295 |
| AMANDA JEFFREY | RDH | 1295307668 |
| MS. SHIRISH KELLY | — | 1750261228 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.