Provider Demographics
NPI:1891582615
Name:EDJHILL, LATCHMIN (APRN)
Entity type:Individual
Prefix:
First Name:LATCHMIN
Middle Name:
Last Name:EDJHILL
Suffix:
Gender:
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:53 OAK ST
Mailing Address - Street 2:
Mailing Address - City:FISHERSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22939-2234
Mailing Address - Country:US
Mailing Address - Phone:540-447-9025
Mailing Address - Fax:540-447-9025
Practice Address - Street 1:53 OAK ST
Practice Address - Street 2:
Practice Address - City:FISHERSVILLE
Practice Address - State:VA
Practice Address - Zip Code:22939-2234
Practice Address - Country:US
Practice Address - Phone:540-447-9025
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-23
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA002493342363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily