Provider Demographics
NPI:1881562569
Name:WYATT, LATIKA
Entity type:Individual
Prefix:
First Name:LATIKA
Middle Name:
Last Name:WYATT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:502 ELMWOOD CT
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44302-1522
Mailing Address - Country:US
Mailing Address - Phone:330-760-0762
Mailing Address - Fax:
Practice Address - Street 1:502 ELMWOOD CT
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44302-1522
Practice Address - Country:US
Practice Address - Phone:330-760-0762
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-25
Last Update Date:2025-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty
No347C00000XTransportation ServicesPrivate Vehicle