Provider Demographics
NPI:1912730821
Name:ANTHONY, LATONIA SHERAE (RN)
Entity type:Individual
Prefix:
First Name:LATONIA
Middle Name:SHERAE
Last Name:ANTHONY
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 1:16214 WILLOWFORD CT
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77082-9011
Mailing Address - Country:US
Mailing Address - Phone:281-832-6611
Mailing Address - Fax:
Practice Address - Street 1:16214 WILLOWFORD CT
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77082-9011
Practice Address - Country:US
Practice Address - Phone:281-832-6611
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-26
Last Update Date:2024-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX988015163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant