Provider Demographics
NPI:1790095073
Name:CHERRY, LATOYA NICOLE (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:LATOYA
Middle Name:NICOLE
Last Name:CHERRY
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:LATOYA
Other - Middle Name:NICOLE
Other - Last Name:CHERRY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:550 SW 63RD AVE
Mailing Address - Street 2:
Mailing Address - City:MARGATE
Mailing Address - State:FL
Mailing Address - Zip Code:33068-1735
Mailing Address - Country:US
Mailing Address - Phone:786-679-5825
Mailing Address - Fax:
Practice Address - Street 1:4200 NW 16TH ST STE 427
Practice Address - Street 2:
Practice Address - City:LAUDERHILL
Practice Address - State:FL
Practice Address - Zip Code:33313-5899
Practice Address - Country:US
Practice Address - Phone:954-298-2823
Practice Address - Fax:954-252-4491
Is Sole Proprietor?:No
Enumeration Date:2010-10-20
Last Update Date:2023-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9247990363LA2100X
FLARNP9247990363LF0000X, 363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily