Broadwater, Latonia Denise

Broadwater, Latonia Denise is an individual health care provider with primary practice located at 459 Patterson Rd , Honolulu HI 96819-1522. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Broadwater, Latonia Denise can be contacted via phone (808) 433-7763.

Contact Information

Primary practice address
459 Patterson Rd Honolulu HI 96819-1522
Phone: (808) 433-7763
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN60067 Hawaii
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN3079 Hawaii

Profile Details

NPI number 1659368678
LBN Legal business name Broadwater, Latonia Denise
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2005
Last updated Feb 12th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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