Provider Demographics
NPI:1740557149
Name:LATVIS, JOY B (RN, MSN APRN FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:JOY
Middle Name:B
Last Name:LATVIS
Suffix:
Gender:F
Credentials:RN, MSN APRN FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 SUMMIT STREET
Mailing Address - Street 2:
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06106
Mailing Address - Country:US
Mailing Address - Phone:860-297-2018
Mailing Address - Fax:860-297-2020
Practice Address - Street 1:300 SUMMIT STREET
Practice Address - Street 2:
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06106
Practice Address - Country:US
Practice Address - Phone:860-297-2018
Practice Address - Fax:860-297-2020
Is Sole Proprietor?:No
Enumeration Date:2011-11-30
Last Update Date:2012-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTE56416163WS0200X
CT005090363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WS0200XNursing Service ProvidersRegistered NurseSchool