Individual ProviderCaitlin Marie LattaNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address345 Smith Ave N, Saint Paul, MN 55102-2346(651) 220-6000(612) 419-8916PECOS EnrollmentBased on the most recent information from CMS, provider Caitlin Marie Latta does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1861968166Provider TypeIndividualFull NameLatta, Caitlin MarieCredentialCNNPGenderFemaleSole ProprietorNoEnumeration Date10/15/2018Last Updated10/18/2018Contact InformationPractice LocationPractice Address345 Smith Ave N, Saint Paul, MN 55102-2346Phone(651) 220-6000FaxUnlisted FaxMailing LocationMailing Address600 N 2nd St Apt 112, Minneapolis, MN 55401-3336Phone(612) 419-8916FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LN0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense2030515Minnesota