Provider Demographics
NPI:1376187484
Name:CHAMBERLAIN, LATOYA SABRINA (FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:LATOYA
Middle Name:SABRINA
Last Name:CHAMBERLAIN
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5301 ALAMO PKWY
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78253-6771
Mailing Address - Country:US
Mailing Address - Phone:210-688-9311
Mailing Address - Fax:
Practice Address - Street 1:4702 E HOUSTON ST
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78220-1720
Practice Address - Country:US
Practice Address - Phone:210-644-2050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-31
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI2813363LF0000X
TX1003232363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily