MRS. CARLY ALEXANDRA LATTA FNP
NPI 1700339074
Nurse Practitioner - Family in Marathon, NY

Active since August 03, 2016
24 ALBRO RD, MARATHON, NY 13803(607) 753-3797 Get Directions Write a Review

NPPES record last updated: March 22, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 22, 2021, Feb 10, 2021, Dec 15, 2017 and 2 more (5 updates tracked since 2016).

About Mrs. Carly Alexandra Latta Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. CARLY ALEXANDRA LATTA FNP (NPI 1700339074) is an individual family provider in Marathon, New York, licensed in New York (340806) and active in the NPI registry since August 2016.

NPPES Registry Identity

NPI1700339074
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. CARLY ALEXANDRA LATTACredential: FNP
Location Address24 ALBRO RDMarathon, NY 13803-2808
Mailing Address85 South West StreetHomer, NY 13077 · (607) 753-3797
Sole ProprietorNo
Enumeration DateAugust 3, 2016
Last NPPES UpdateMarch 22, 20215 updates tracked since enumeration
NPPES CertifiedMarch 22, 2021
NPI 1700339074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NY · 340806
24 ALBRO RD, Marathon, NY 13803

Other Names 1

Former Name (1)Carly Smith

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
24 ALBRO RD
MARATHON, NY 13803
Nurse Practitioner (Family)
24 ALBRO RD
MARATHON, NY 13803
Clinic/Center (Federally Qualified Health Center (FQHC))
24 ALBRO RD
MARATHON, NY 13803

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carly Latta's NPI number?

The NPI number for Carly Latta is 1700339074. It was assigned to this individual provider in the NPPES registry on August 3, 2016. The provider is also known as Carly Smith.

Where is Carly Latta located?

Carly Latta practices at 24 Albro Rd, Marathon, NY 13803. The listed phone number is (607) 753-3797.

What is Carly Latta's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Carly Latta was last updated on March 22, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.