Provider Demographics
NPI:1669355657
Name:BROWN, LATIERA
Entity type:Individual
Prefix:MS
First Name:LATIERA
Middle Name:
Last Name:BROWN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:LATIERA
Other - Middle Name:
Other - Last Name:SHULER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:488 COUNTRY ESTATES RD
Mailing Address - Street 2:
Mailing Address - City:APPOMATTOX
Mailing Address - State:VA
Mailing Address - Zip Code:24522-4201
Mailing Address - Country:US
Mailing Address - Phone:434-414-4594
Mailing Address - Fax:
Practice Address - Street 1:488 COUNTRY ESTATES RD
Practice Address - Street 2:
Practice Address - City:APPOMATTOX
Practice Address - State:VA
Practice Address - Zip Code:24522-4201
Practice Address - Country:US
Practice Address - Phone:434-414-4594
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-28
Last Update Date:2025-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No172V00000XOther Service ProvidersCommunity Health Worker
No174H00000XOther Service ProvidersHealth Educator