Individual
LATRICE WADDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNS-PMH
Contact information
Practice address
1425 STARR AVE, TOLEDO, OH 43605
(419) 693-0631
(419) 936-7606
Mailing address
1425 STARR AVE, TOLEDO, OH 43605-2456
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704413076
MI
163W00000X
Registered Nurse
RN.344000
OH
363L00000X
Nurse Practitioner
4704413076
MI
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
0024196812
VA
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
APRN.CNS.15185
OH
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
COA15185NS
OH
Other
Enumeration date
10/15/2013
Last updated
03/27/2026
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