IndividualActive
Melissa Lattimore
NPI 1790494953 · Nurse's Aide · Bourbon, IN
Provider details
- NPI number
- 1790494953
- Entity type
- Individual
- Primary specialty
- Nurse's AideNursing Service Related Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- CNA0806682 (IN)
Specialties & taxonomies
Nursing Service Related Providers
Practice location
407 E Jefferson St
Bourbon, IN 46504-1451
Phone: (574) 217-3520
Approximate (ZIP-level) locationGet directions
Mailing address
407 E Jefferson St
Bourbon, IN 46504-1451
Registry dates
- Enumerated
- 2022-11-16
- Last updated
- 2023-02-12
- Certified
- 2023-02-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.