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Latashay Bonner
NPI 1740155787 · on the registry since 2025 · sole proprietor
Practice
- Address
- 530 E Ohio St Unit 316
Indianapolis, IN 46204 - Phone
- (219) 577-5013
- Clinicians at this address
- 3
Additional practice sites
- 530 E Ohio St, Indianapolis, IN
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Also registered as
- 253Z00000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-03-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana