Healthcare Provider Details

I. General information

NPI: 1720903016
Provider Name (Legal Business Name): LATOYA OKON RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2920 ADVANTAGE WAY SACRAMENTO
SACRAMENTO CA
95834
US

IV. Provider business mailing address

2426 BAYLESS WAY
SACRAMENTO CA
95835-1549
US

V. Phone/Fax

Practice location:
  • Phone: 916-419-3788
  • Fax:
Mailing address:
  • Phone: 916-529-3786
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number95231575
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: