Provider Demographics
NPI:1689180416
Name:WOODS-WILLIAMS, LATOYA TEKEMA (FNP)
Entity Type:Individual
Prefix:
First Name:LATOYA
Middle Name:TEKEMA
Last Name:WOODS-WILLIAMS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1447 N HARRISON ST
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48602-4727
Mailing Address - Country:US
Mailing Address - Phone:989-792-1895
Mailing Address - Fax:
Practice Address - Street 1:2575 MCLEOD DR N STE A
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48604-2857
Practice Address - Country:US
Practice Address - Phone:989-797-5532
Practice Address - Fax:989-797-5537
Is Sole Proprietor?:No
Enumeration Date:2017-12-15
Last Update Date:2021-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704243591363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily