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:
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Health care specialties

SpecialtyCodeLicense #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 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1477645976 NPPES
Minnesota MEDICAID 642452000

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