Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARC TRAVIS LATTA, PA-C
ActiveMARC TRAVIS LATTA, PA-C is a Physician Assistant healthcare provider located in NEWARK, Delaware. NPI 1700985769 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · NEWARK, DE
Registration Details
- NPI Number
- 1700985769
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 22, 2006 (19.902645066516 yrs)
- Last Updated
- Dec 19, 2024
- Licenses
-
0110001154 (VA)C5-0001013 (DE)0010-13626 (NC)
Practice Information
- Address
-
4755 OGLETOWN STANTON RDSUITE 1E50NEWARK, DE, 197182200Browse DE providers · Browse ZIP 19718
- Phone
- 3027331980
- Fax
- 3027331986
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in NEWARK, DE
| Name | Credential | NPI |
|---|---|---|
| THOMAS EDWARDS | PA-C | 1194720672 |
| REBECCA LYNN YOURINSON | PAC | 1104825579 |
| KRISTEN D. MARRA | PA-C | 1689673634 |
| MR. DAVID L FRIESWYK | PA-C | 1023019247 |
| MRS. CRISTINA L. BONILLA-COOKE | PA-C | 1003897216 |
| AMANDA WOJEWODKA CANAVAN | PA-C | 1154307759 |
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.