Provider Demographics
NPI:1821603945
Name:KEYES, LATANYA (APRN)
Entity Type:Individual
Prefix:MRS
First Name:LATANYA
Middle Name:
Last Name:KEYES
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:LATAMYA
Other - Middle Name:
Other - Last Name:TYLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:620 STANTON CHRISTIANA RD STE 202
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713-2130
Mailing Address - Country:US
Mailing Address - Phone:302-384-7439
Mailing Address - Fax:
Practice Address - Street 1:15 S DUPONT HWY
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19901-7430
Practice Address - Country:US
Practice Address - Phone:302-674-1514
Practice Address - Fax:302-674-1587
Is Sole Proprietor?:No
Enumeration Date:2020-09-15
Last Update Date:2021-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DELG-0011471363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner