Provider Demographics
NPI:1568066488
Name:BOWERS, LATOYA JOYCE (LVN)
Entity Type:Individual
Prefix:MS
First Name:LATOYA
Middle Name:JOYCE
Last Name:BOWERS
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9149 BARBARO DR APT 7102
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76140-1889
Mailing Address - Country:US
Mailing Address - Phone:817-344-0471
Mailing Address - Fax:
Practice Address - Street 1:9149 BARBARO DR APT 7102
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76140-1889
Practice Address - Country:US
Practice Address - Phone:817-344-0471
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-23
Last Update Date:2020-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1013702164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse