Individual
LATONYA S FORE-WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
159 CROCKER PARK BLVD STE 400, WESTLAKE, OH 44145-8147
(216) 815-1624
(216) 930-5928
Mailing address
159 CROCKER PARK BLVD STE 400, WESTLAKE, OH 44145-8147
(216) 815-1624
(216) 930-5928
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.316441
OH
363L00000X
Nurse Practitioner
COA 16548
OH
363LG0600X
Gerontology Nurse Practitioner
Primary
APRNCNP16548
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0110937
—
OH
Enumeration date
08/12/2014
Last updated
12/12/2023
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