King, Latonya Sheriee

King, Latonya Sheriee is an individual health care provider with primary practice located at 152 Simsbury Rd Bldg 9 , Avon CT 06001-3777. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. King, Latonya Sheriee can be contacted via phone (802) 565-1755.

Contact Information

Primary practice address
152 Simsbury Rd Bldg 9 Avon CT 06001-3777
Phone: (802) 565-1755
Fax: (860) 650-1920
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X CNP211331 Maine
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X RN2333364 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 008579 Connecticut

Profile Details

NPI number 1023579885
LBN Legal business name King, Latonya Sheriee
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2019
Last updated Dec 9th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023579885 NPPES
Massachusetts MEDICAID 1023579885
Massachusetts MEDICAID 1023579885

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