Provider Demographics
NPI:1215002142
Name:MARTIN, LATONYA (DNP, NM, FNP-C)
Entity type:Individual
Prefix:DR
First Name:LATONYA
Middle Name:
Last Name:MARTIN
Suffix:
Gender:F
Credentials:DNP, NM, FNP-C
Other - Prefix:DR
Other - First Name:LATONYA
Other - Middle Name:
Other - Last Name:STERGIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DNP, FNP,CNM
Mailing Address - Street 1:4773 EAST 93RD STREET
Mailing Address - Street 2:
Mailing Address - City:GARFIELD HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44125
Mailing Address - Country:US
Mailing Address - Phone:216-773-6839
Mailing Address - Fax:
Practice Address - Street 1:9302 OLDE 8 RD
Practice Address - Street 2:
Practice Address - City:NORTHFIELD
Practice Address - State:OH
Practice Address - Zip Code:44067-2027
Practice Address - Country:US
Practice Address - Phone:866-389-2727
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-24
Last Update Date:2021-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH19124363LF0000X
OH07645176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No176B00000XOther Service ProvidersMidwife