Provider Demographics
NPI:1972900405
Name:NORMAN, LATONYA DENISE
Entity Type:Individual
Prefix:
First Name:LATONYA
Middle Name:DENISE
Last Name:NORMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:739 BURNS ST
Mailing Address - Street 2:APT 1
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45204-1973
Mailing Address - Country:US
Mailing Address - Phone:513-213-9822
Mailing Address - Fax:
Practice Address - Street 1:739 BURNS ST
Practice Address - Street 2:APT 1
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45204-1973
Practice Address - Country:US
Practice Address - Phone:513-213-9822
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-11-26
Last Update Date:2014-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372500000XNursing Service Related ProvidersChore Provider
No372600000XNursing Service Related ProvidersAdult Companion
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant