Individual
LATOYA BOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3220 ATLANTA ST, SPRINGFIELD, IL 62707-8801
(217) 588-2600
Mailing address
PO BOX 3428, SPRINGFIELD, IL 62708-3428
(800) 577-5368
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209015766
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2016032820
ANCC CERTIFICATION
IL
Enumeration date
04/19/2017
Last updated
04/19/2017
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