Whitley, Latonya
Whitley, Latonya is an individual health care provider with primary practice located at 17650 134Th Ave Se S201, Renton WA 98058-6889. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Whitley, Latonya can be contacted via phone (612) 701-4301.Contact Information
Primary practice address
17650 134Th Ave Se S201
Renton WA 98058-6889
Phone: (612) 701-4301
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | R1585841 | Minnesota |
Profile Details
| NPI number | 1477645976 |
|---|---|
| LBN Legal business name | Whitley, Latonya |
| Credentials | DNP, MHA, MS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 29th, 2006 |
| Last updated | Dec 21st, 2018 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477645976 | NPPES |
| Minnesota | MEDICAID | 642452000 |
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