Individual
LATONYA L SULTZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2920 N ARLINGTON AVE, SUITE B, INDIANAPOLIS, IN 46218-3361
(317) 355-9431
(317) 355-9445
Mailing address
1002 N MITTHOEFER RD STE A, INDIANAPOLIS, IN 46229-2461
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
28157480A
IN
363LF0000X
Family Nurse Practitioner
Primary
71006098A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201346070
—
IN
01
—
28157480A
INDIANA PROFESSIONAL LICENSING AGENCY NURSING BOARD
IN
01
—
P01678747
RR MEDICARE
IN
Enumeration date
11/05/2015
Last updated
04/29/2026
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