Provider Demographics
NPI:1184458416
Name:ESSRHIR, LATOYA MONIQUE (RN)
Entity type:Individual
Prefix:MS
First Name:LATOYA
Middle Name:MONIQUE
Last Name:ESSRHIR
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3830 AUGUSTINE CIR
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:VA
Mailing Address - Zip Code:23703-2503
Mailing Address - Country:US
Mailing Address - Phone:757-785-8090
Mailing Address - Fax:
Practice Address - Street 1:3830 AUGUSTINE CIR
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:VA
Practice Address - Zip Code:23703-2503
Practice Address - Country:US
Practice Address - Phone:757-785-8090
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-29
Last Update Date:2024-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001239923163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health