Latonya Richardson Thomas, FNP-C
Nurse Practitioner, Family in Tallulah, LA. Individual provider (NPI-1).
NPI number1710596192
StatusActive
Last updated in NPPESAug 11, 2021
Details
- NPI
- 1710596192
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Latonya Richardson Thomas
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 30, 2020
- Certification date
- Aug 11, 2021
- Last updated
- Aug 11, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 214886 | LA | Yes |
Practice location
222 W Bear Lake RdTallulah, LA 71282-6028
Phone 318-574-3879
Mailing address
222 W Bear Lake RdTallulah, LA 71282-6028
Phone 318-574-3879
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