Provider Demographics
NPI:1073307997
Name:TOMLINSON, SEQUOYAH LATREICE (LPN)
Entity type:Individual
Prefix:
First Name:SEQUOYAH
Middle Name:LATREICE
Last Name:TOMLINSON
Suffix:
Gender:
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5425 PIPERS STONE ST
Mailing Address - Street 2:
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89031-0756
Mailing Address - Country:US
Mailing Address - Phone:414-248-3618
Mailing Address - Fax:213-566-4711
Practice Address - Street 1:5425 PIPERS STONE ST
Practice Address - Street 2:
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89031-0756
Practice Address - Country:US
Practice Address - Phone:414-248-3618
Practice Address - Fax:213-566-4711
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-07
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI323642164W00000X
NV826199164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse