National Provider Identifier Database

LATISHA M ABBOTT EDISON
Nursing Home Administrator

An individual, often licensed by the state, who is responsible for the management of a nursing home.


Contact Information

LATISHA M ABBOTT EDISON
4000 DARTMOUTH ST
PORTSMOUTH, VA23707-3816
Phone: 757-920-8841
Fax:
Website:
Specialty Taxonomy Code
* Nursing Home Administrator 376G00000X

* Indicates primary specialty

NPI Profile & details for LATISHA M ABBOTT EDISON

NPI Number 1568239242
Credentials
Entity Individual
Enumeration date 12/04/2023
Last updated 12/04/2023 - About 3 years ago
Sole proprietor1 No
Identifiers n/a
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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