Latrisha Renay Dupree, is a
Licensed Practical Nurse based in Belleville, Illinois. Latrisha Renay Dupree is licensed to practice in Missouri (license number 2016021966) and her current practice location is
707 Saint Clair Ave, Belleville, Illinois. She can be reached at her office (for appointments etc.) via phone at
(618) 363-3421.
NPI number for Latrisha Renay Dupree is 1174257349 and her current mailing address is 707 Saint Clair Ave, Belleville, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1174257349.
Provider's Profile
Full Name | Latrisha Renay Dupree |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 707 Saint Clair Ave, Belleville, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1174257349
- Provider Enumeration Date: 07/13/2022
- Last Update Date: 07/13/2022
Medical Identifiers
Medical identifiers for Latrisha Renay Dupree such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1174257349 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 2016021966 (Missouri) | 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. Latrisha Renay Dupree 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 |
Latrisha Renay Dupree, 707 Saint Clair Ave, Belleville, IL 62220-2319 Ph: (618) 363-3421 | Latrisha Renay Dupree, 707 Saint Clair Ave, Belleville, IL 62220-2319 Ph: (618) 363-3421 |
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