Individual
LATASHA NYE BROCKINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6312 SEVEN CORNERS CTR # 386, FALLS CHURCH, VA 22044-2409
(202) 643-5571
Mailing address
7000 S KENFIG DR, FALLS CHURCH, VA 22042-3866
(843) 834-4225
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
FL
176B00000X
Midwife
Primary
0129000222
VA
176B00000X
Midwife
—
DC
374J00000X
Doula
—
NY
Other
Enumeration date
10/13/2022
Last updated
05/28/2025
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