Latora Subani, in Apple Valley, CA - Nurse Practitioner

Latora Subani, is a Nurse Practitioner - Adult Health physician based in Apple Valley, California. Latora Subani is licensed to practice in California (license number 95005753) and her current practice location is 16179 Siskiyou Rd, Apple Valley, California. She can be reached at her office (for appointments etc.) via phone at (661) 267-6876.

NPI number for Latora Subani is 1033649413 and her current mailing address is 3 Rue Monet, Foothill Ranch, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1033649413.

Contact Information

	Latora Subani,
	16179 Siskiyou Rd, Apple Valley, CA 92307-1314
	(661) 267-6876
	Not Available

Physician's Profile

Full Name	Latora Subani
Gender	Female
Speciality	Nurse Practitioner - Adult Health
Location	16179 Siskiyou Rd, Apple Valley, California
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1033649413
Provider Enumeration Date: 06/18/2017
Last Update Date: 10/09/2017

Medical Identifiers

Medical identifiers for Latora Subani such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033649413	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208VP0014X	Pain Medicine - Interventional Pain Medicine	95005753 (California)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	95005753 (California)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Latora Subani is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Latora Subani, 3 Rue Monet, Foothill Ranch, CA 92610-2482 Ph: () -	Latora Subani, 16179 Siskiyou Rd, Apple Valley, CA 92307-1314 Ph: (661) 267-6876

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Latora Subani, - Nurse Practitioner in Apple Valley, CA