LATONYA S MIMS

ROANOKE, VA
NPI1801879754
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: VA  0024185485)
Additional Taxonomies367500000X Nurse Anesthetist, Certified Registered
(Licence: MA  RN243434)
367500000X Nurse Anesthetist, Certified Registered
(Licence: TX  668574)
Enumeration Date2005-11-23
Last Update Date2026-05-22
Business Address
LATONYA S MIMS C.R.N.A.
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014-1838
Phone number: 540-853-0222
Mailing Address
LATONYA S MIMS C.R.N.A.
213 S JEFFERSON ST STE 1006
ROANOKE, VA 24011-1713
Phone number: 540-224-5516