Latisha Nicole Carter-blanks

M.D. | Pediatrics | Female

Latisha Nicole Carter-blanks, M.D. is a Northville, Michigan based Pediatric doctor with medical specialization in General Pediatrics. Current practice location of Latisha Nicole Carter-blanks is 39901 Traditions Dr, Suite 240, Northville, Michigan - 48168-9493. She can be contacted on phone at 248-888-9000. Latisha Nicole Carter-blanks is a sole proprietor of her business.
NPI number (Unique professional ID) for Latisha Nicole Carter-blanks is 1700923810 which was assigned by NPPES on 30 Jan, 2007 and it was last updated on 03 Dec, 2014. Latisha Nicole Carter-blanks license number is 4301079976 for Pediatrics (208000000X) in Michigan.
Latisha Nicole Carter-blanks is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Latisha Nicole Carter-blanks basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
Specialization :Pediatrics
Provider Name :Latisha Nicole Carter-blanks
Credential :M.D.
Gender :Female
Business Address:
Latisha Nicole Carter-blanks address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
Primary Address :39901 Traditions Dr, Suite 240
Northville, MI, 48168-9493
United States
Phone Number :248-888-9000
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number : 1700923810
NPI Entity Type : Individual
First Enrolment Date : 30 Jan, 2007
Last Updated On : 03 Dec, 2014
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Latisha Nicole Carter-blanks are as mentioned. Primary taxonomy code for Latisha Nicole Carter-blanks, M.D. is 208000000X (Pediatrics).
Taxonomy Code SpecialityPrimaryLicense No.State
208000000XPediatricsYes4301079976MI
Legacy Identifiers:
Other legacy medical identifiers of Latisha Nicole Carter-blanks such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
IdentifierIdentifier TypeStateIssuer
1700923810MEDICAIDMI
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
Mailing Address :3621 S State St, 700 Kms Place
Ann Arbor, MI, 48108
United States
Phone Number :734-936-2047
Business Location:
Patients can refer following map for directions to Latisha Nicole Carter-blanks practice address. Don't forget to take prior appointment before visiting.

** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.