person
Latoya Shallow, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner in Upper Marlboro, Maryland
NPI 1720856172

Latoya Shallow is a Psychiatric/Mental Health Nurse Practitioner based in Upper Marlboro, MD and is specialized in Psychiatric/Mental Health. Latoya Shallow practices in Upper Marlboro, MD and has the professional credentials of PMHNP-BC. The NPI Number for Latoya Shallow is 1720856172 and holds a License No. R187274 (Maryland).

The current practice location address for Latoya Shallow is 1221 Mercantile Ln, Upper Marlboro, MD and can be reached out via phone at 301-618-7121.

Location: 1221 Mercantile Ln, Upper Marlboro, MD, 20774-5374
person
Provider Profile Details
NPI Number
1720856172
Provider Name
Latoya Shallow
Credential
PMHNP-BC
Provider Entity Type
Individual
Gender
Female
Address
1221 Mercantile Ln, Upper Marlboro, MD, 20774-5374
Phone Number
301-618-7121
Fax Number
Provider Enumeration Date
12/15/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1221 Mercantile Ln
City
State
Zip
20774-5374
Phone Number
301-618-7121
Fax Number
person
Provider Business Mailing Address Details
Address
1221 Mercantile Ln
City
State
Zip
20774-5374
Phone Number
301-618-7121
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
R187274 (Maryland)
Definition
Definition to come...
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