Provider Demographics
NPI:1447989207
Name:MUSE, LATOYA RENEE (RN)
Entity type:Individual
Prefix:
First Name:LATOYA
Middle Name:RENEE
Last Name:MUSE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:276 IVY LN
Mailing Address - Street 2:
Mailing Address - City:CALLAO
Mailing Address - State:VA
Mailing Address - Zip Code:22435-2329
Mailing Address - Country:US
Mailing Address - Phone:804-664-3188
Mailing Address - Fax:
Practice Address - Street 1:276 IVY LN
Practice Address - Street 2:
Practice Address - City:CALLAO
Practice Address - State:VA
Practice Address - Zip Code:22435-2329
Practice Address - Country:US
Practice Address - Phone:804-664-3188
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-07
Last Update Date:2022-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001288777163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse