Provider Demographics
NPI:1972136331
Name:ZURCHER, LATESHA PAIT (FNP)
Entity type:Individual
Prefix:
First Name:LATESHA
Middle Name:PAIT
Last Name:ZURCHER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:LATESHA
Other - Middle Name:DAWN
Other - Last Name:PAIT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4676 REGAN CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:LUMBERTON
Mailing Address - State:NC
Mailing Address - Zip Code:28358-7575
Mailing Address - Country:US
Mailing Address - Phone:910-316-1474
Mailing Address - Fax:
Practice Address - Street 1:400 LIBERTY HILL RD
Practice Address - Street 2:
Practice Address - City:LUMBERTON
Practice Address - State:NC
Practice Address - Zip Code:28358-2446
Practice Address - Country:US
Practice Address - Phone:910-739-3318
Practice Address - Fax:910-671-3600
Is Sole Proprietor?:No
Enumeration Date:2020-02-13
Last Update Date:2024-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC501294363LF0000X, 363LP0200X
NC194716363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily