Provider Demographics
NPI:1174953046
Name:LENOIR, LATRINA M (FNP-C)
Entity type:Individual
Prefix:
First Name:LATRINA
Middle Name:M
Last Name:LENOIR
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:LATRINA
Other - Middle Name:M
Other - Last Name:DUNN LENOIR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-C
Mailing Address - Street 1:2855 PRESTON RD
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-9438
Mailing Address - Country:US
Mailing Address - Phone:469-495-9118
Mailing Address - Fax:
Practice Address - Street 1:2855 PRESTON RD
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-9438
Practice Address - Country:US
Practice Address - Phone:469-495-9118
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-11-13
Last Update Date:2022-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209010932363LF0000X
TXAP131820363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILF400235341Medicare UPIN