Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LATRINA S WALDEN, FNP-C
Active Sole ProprietorLATRINA S WALDEN, FNP-C is a Primary Care Nurse Practitioner healthcare provider located in LILBURN, Georgia. NPI 1750861217 is currently active in the NPPES registry. Verify at CMS.
Primary Care Nurse Practitioner · LILBURN, GA
Registration Details
- NPI Number
- 1750861217
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 15, 2018 (8.0420850391216 yrs)
- Last Updated
- Oct 29, 2025
- Licenses
-
214211 (GA)214211 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4045 FIVE FORKS TRICKUM RD SW STE 130LILBURN, GA, 300472538Browse GA providers · Browse ZIP 30047
- Phone
- 4048602425
- Fax
- 6787371726
- Primary Specialty
-
Primary Care Nurse Practitioner
363LP2300X
- Additional Specialty
- Psychiatric/Mental Health Nurse Practitioner
Other Primary Care Nurse Practitioner Providers in LILBURN, GA
| Name | Credential | NPI |
|---|---|---|
| ELIZABETH SAM | — | 1154828366 |
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.