Provider Demographics
NPI:1629876958
Name:TELPHA, LATOYA
Entity type:Individual
Prefix:
First Name:LATOYA
Middle Name:
Last Name:TELPHA
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 1:382 E 32ND ST APT B3
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11226-7999
Mailing Address - Country:US
Mailing Address - Phone:347-779-7729
Mailing Address - Fax:
Practice Address - Street 1:382 E 32ND ST APT B3
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11226-7999
Practice Address - Country:US
Practice Address - Phone:347-779-7729
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-04
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY970268163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse