Healthcare Provider Details

I. General information

NPI: 1003112137
Provider Name (Legal Business Name): LATOYA WELLS ARNP, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/08/2011
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

452 OSCEOLA ST STE 106
ALTAMONTE SPRINGS FL
32701-7800
US

IV. Provider business mailing address

452 OSCEOLA ST STE 106
ALTAMONTE SPRINGS FL
32701-7800
US

V. Phone/Fax

Practice location:
  • Phone: 321-306-6755
  • Fax: 321-324-0851
Mailing address:
  • Phone: 321-306-6755
  • Fax: 321-324-0851

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number9197627
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: