Provider Demographics
NPI:1972046035
Name:LATORRE, JOYCE (APRN)
Entity Type:Individual
Prefix:
First Name:JOYCE
Middle Name:
Last Name:LATORRE
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:176 TOLL GATE RD
Mailing Address - Street 2:SUITE 301
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886-4482
Mailing Address - Country:US
Mailing Address - Phone:401-739-2984
Mailing Address - Fax:401-739-0867
Practice Address - Street 1:176 TOLL GATE RD
Practice Address - Street 2:SUITE 301
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886-4482
Practice Address - Country:US
Practice Address - Phone:401-739-2984
Practice Address - Fax:401-739-0867
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-22
Last Update Date:2017-01-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
RIAPRN01399363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily