Provider Demographics
NPI:1942892609
Name:NTLABATI, LATOYA RENEE (PMHNP)
Entity type:Individual
Prefix:MRS
First Name:LATOYA
Middle Name:RENEE
Last Name:NTLABATI
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:276 PATRICKS XING
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:23185-2606
Mailing Address - Country:US
Mailing Address - Phone:313-759-6717
Mailing Address - Fax:
Practice Address - Street 1:8220 MEADOWBRIDGE RD STE 313
Practice Address - Street 2:
Practice Address - City:MECHANICSVILLE
Practice Address - State:VA
Practice Address - Zip Code:23116-2340
Practice Address - Country:US
Practice Address - Phone:804-325-8882
Practice Address - Fax:804-764-3280
Is Sole Proprietor?:No
Enumeration Date:2021-02-04
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0024180764363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health