Provider Demographics
NPI:1134647795
Name:BELT, LATANYA RENEE (CNA)
Entity Type:Individual
Prefix:
First Name:LATANYA
Middle Name:RENEE
Last Name:BELT
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 57204
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:TX
Mailing Address - Zip Code:77598-7204
Mailing Address - Country:US
Mailing Address - Phone:281-720-7114
Mailing Address - Fax:
Practice Address - Street 1:2923 MARBLE FALLS DR
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-7065
Practice Address - Country:US
Practice Address - Phone:183-250-3907
Practice Address - Fax:832-503-9073
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-05
Last Update Date:2017-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXNA0010011957376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide