Latrice Tugard, LPN
Licensed Practical Nurse in Benton, AR. Individual provider (NPI-1).
NPI number1154771210
StatusActive
Last updated in NPPESJul 22, 2016
Details
- NPI
- 1154771210
- Entity type
- Individual (NPI-1)
- Name
- Latrice Tugard
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 20, 2016
- Last updated
- Jul 22, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | L056412 | AR | Yes |
Practice location
1506 Mary Kay BlvdBenton, AR 72015-8909
Phone 501-315-3344
Mailing address
Po Box 1589Benton, AR 72018-1589
Phone 501-315-3344
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 25 Licensed Practical Nurse providers in Benton · All 2,212 providers in Benton
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