Provider Demographics
NPI:1740625904
Name:LATORRE, JOANNE (RN, C)
Entity type:Individual
Prefix:
First Name:JOANNE
Middle Name:
Last Name:LATORRE
Suffix:
Gender:F
Credentials:RN, C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42 LARRYS LN
Mailing Address - Street 2:
Mailing Address - City:PLEASANTVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10570-2402
Mailing Address - Country:US
Mailing Address - Phone:917-515-0498
Mailing Address - Fax:
Practice Address - Street 1:42 LARRYS LN
Practice Address - Street 2:
Practice Address - City:PLEASANTVILLE
Practice Address - State:NY
Practice Address - Zip Code:10570-2402
Practice Address - Country:US
Practice Address - Phone:917-515-0498
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-01
Last Update Date:2013-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY499826163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse