Provider Demographics
NPI:1316818479
Name:SHARP, LATOYA LATRICE
Entity type:Individual
Prefix:
First Name:LATOYA
Middle Name:LATRICE
Last Name:SHARP
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 1:11712 NORWICK PLZ APT 42
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68164-1479
Mailing Address - Country:US
Mailing Address - Phone:832-830-3634
Mailing Address - Fax:
Practice Address - Street 1:11712 NORWICK PLZ APT 42
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68164-1479
Practice Address - Country:US
Practice Address - Phone:832-830-3634
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-12
Last Update Date:2025-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker