Healthcare Provider Details

I. General information

NPI: 1164733499
Provider Name (Legal Business Name): LATANYA DELORES CHRISTIAN RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/01/2010
Last Update Date: 11/19/2025
Certification Date: 11/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3901 E LIVINGSTON AVE
COLUMBUS OH
43227-2302
US

IV. Provider business mailing address

3901 E LIVINGSTON AVE
COLUMBUS OH
43227-2302
US

V. Phone/Fax

Practice location:
  • Phone: 614-252-4941
  • Fax:
Mailing address:
  • Phone: 614-252-4941
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN.CNP.0040374
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN347911
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License NumberRN.347911
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: