Provider Demographics
NPI:1285469486
Name:LITTLE, D'ANNA LATESHA (MD)
Entity type:Individual
Prefix:DR
First Name:D'ANNA
Middle Name:LATESHA
Last Name:LITTLE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:VIA DELLA FORNACE 14
Mailing Address - Street 2:INT. 19
Mailing Address - City:PORCIA
Mailing Address - State:PORDENONE FVG
Mailing Address - Zip Code:33080
Mailing Address - Country:IT
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:VIA DELLA FORNACE 14
Practice Address - Street 2:
Practice Address - City:PORCIA
Practice Address - State:PORDENONE FVG
Practice Address - Zip Code:33080
Practice Address - Country:IT
Practice Address - Phone:301-968-6775
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-06
Last Update Date:2024-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY3203782083P0901X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine