Individual provider · Type 1 NPI

Latisha Lynne Deyoung, NP

Acute Care Nurse Practitioner · Grand Rapids, MI

NPI number 1659536688 Active

Practice location

360 Lafayette Ave SE Ste 400
Grand Rapids, MI 49503-4677

Mailing address

100 Michigan St NE # MC845
Grand Rapids, MI 49503-2560

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100X4704202168 (MI)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1659536688

Latisha Lynne Deyoung, NP's National Provider Identifier is 1659536688, issued on Jul 18, 2008. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Grand Rapids, MI. The record was last updated on Oct 28, 2024.