LATRESIA FAIR RN
NPI 1902488778
Registered Nurse - Infusion Therapy in Conyers, GA

Active since April 22, 2021
1303 PARKER RD SE, CONYERS, GA 30094(786) 351-9340 Get Directions Write a Review

NPPES record last updated: April 22, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Latresia Fair Rn NPPES

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

LATRESIA FAIR RN (NPI 1902488778) is an individual infusion therapy provider in Conyers, Georgia, licensed in Georgia (262012) and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1902488778
Entity TypeIndividualFemale
Primary Taxonomy163WI0500X
Provider Legal NameLATRESIA FAIRCredential: RN
Location Address1303 PARKER RD SEConyers, GA 30094-5984
Mailing Address4240 Lindsey WayConyers, GA 30013-4103 · (786) 351-9340
Sole ProprietorNo
Enumeration DateApril 22, 2021
NPPES CertifiedApril 22, 2021
NPI 1902488778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyRegistered Nurse · Infusion TherapyNursing Service Providers
Taxonomy Code163WI0500X
License Licensed in GA · 262012
Also ListedRegistered NurseTaxonomy 163W00000X · License 262012 (GA)
Also ListedRegistered Nurse · Community HealthTaxonomy 163WC1500X · License 262012 (GA)
Also ListedRegistered Nurse · Home HealthTaxonomy 163WH0200X · License 262012 (GA)
1303 PARKER RD SE, Conyers, GA 30094

Other Identifiers 2

Medicaid863208181GA
Other863208181GA · Insurance Companies

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 Latresia Fair's NPI number?

The NPI number for Latresia Fair is 1902488778. It was assigned to this individual provider in the NPPES registry on April 22, 2021.

Where is Latresia Fair located?

Latresia Fair practices at 1303 Parker Rd SE, Conyers, GA 30094. The listed phone number is (786) 351-9340.

What is Latresia Fair's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Infusion Therapy, with taxonomy code 163WI0500X.

When was this NPI record last updated?

The NPPES record for Latresia Fair was last updated on April 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.