Provider Demographics
NPI:1770850679
Name:SHERMAN, LA TOYA DIONNA (RN)
Entity Type:Individual
Prefix:MISS
First Name:LA TOYA
Middle Name:DIONNA
Last Name:SHERMAN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2625 W GALBRAITH RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45239-4208
Mailing Address - Country:US
Mailing Address - Phone:513-917-5958
Mailing Address - Fax:
Practice Address - Street 1:2625 W GALBRAITH RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45239-4208
Practice Address - Country:US
Practice Address - Phone:513-917-5958
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-20
Last Update Date:2011-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN353373163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse