Individual provider · NPI-1

Latoya Denim Addison, FNP

Nurse Practitioner, Family · Albany, NY

NPI number1609584986
StatusActive
Last updated in NPPESFeb 6, 2023

Details

NPI
1609584986
Entity type
Individual (NPI-1)
Name
Latoya Denim Addison
Credential
FNP
Sex
Female
Sole proprietor
No
Enumeration date
Nov 7, 2022
Certification date
Feb 6, 2023
Last updated
Feb 6, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family350569NYYes

Practice location

1375 Washington Ave Ste 202
Albany, NY 12206-1056

Phone 518-482-0007

Mailing address

Po Box 14890
Albany, NY 12212-4890

Phone 518-525-5634

Other practice locations

133 Shaker Run
Albany, NY 12205-2452

Phone 518-728-1520

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