Provider Demographics
NPI:1871186429
Name:BROWN, LATOYA DANIELLE (AGPCNP-C)
Entity Type:Individual
Prefix:DR
First Name:LATOYA
Middle Name:DANIELLE
Last Name:BROWN
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Gender:F
Credentials:AGPCNP-C
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Mailing Address - Street 1:804 SERVICE RD STE A109B
Mailing Address - Street 2:
Mailing Address - City:EAST LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48824-7015
Mailing Address - Country:US
Mailing Address - Phone:517-694-2144
Mailing Address - Fax:517-694-7469
Practice Address - Street 1:5091 WILLOUGHBY RD
Practice Address - Street 2:
Practice Address - City:HOLT
Practice Address - State:MI
Practice Address - Zip Code:48842-1054
Practice Address - Country:US
Practice Address - Phone:517-694-2144
Practice Address - Fax:517-694-7469
Is Sole Proprietor?:No
Enumeration Date:2021-02-15
Last Update Date:2023-06-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4704297656363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health