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Individual
MRS. LATOYA SHANTA HENDERSON
Active
Individual
MRS. LATOYA SHANTA HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP, PMH-NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.365153
OH
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.026034
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
2022090854
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0398705
—
OH
Enumeration date
01/19/2011
Last updated
01/23/2026
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