MRS. LATEISHA LYNN VANTRICE WILLIS CNA
NPI 1235926718
Nurse's Aide in Phoenix, AZ

Active since April 21, 2025
1839 N 39TH ST, PHOENIX, AZ 85008(817) 819-7710 Get Directions Write a Review

NPPES record last updated: April 21, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Lateisha Lynn Vantrice Willis Cna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. LATEISHA LYNN VANTRICE WILLIS CNA (NPI 1235926718) is an individual nurse's aide in Phoenix, Arizona, licensed in Arizona (297178) and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1235926718
Entity TypeIndividualFemale
Primary Taxonomy376K00000X
Provider Legal NameMRS. LATEISHA LYNN VANTRICE WILLISCredential: CNA
Location Address1839 N 39TH STPhoenix, AZ 85008-3915
Mailing Address1839 N 39th StPhoenix, AZ 85008-3915 · (817) 819-7710
Sole ProprietorNo
Enumeration DateApril 21, 2025
NPPES CertifiedApril 21, 2025
NPI 1235926718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse's AideNursing Service Related Providers
Taxonomy Code376K00000X
License Licensed in AZ · 297178
Definition

(1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional. Examples of tasks performed by nurses aides include changing clothes, diapers, and beds; assisting patients to perform exercises or personal hygiene tasks, and supporting communication or social interaction. Specific education and credentials are not required for this work.

1839 N 39TH ST, Phoenix, AZ 85008

Other Names 1

Former Name (1)Lateisha Lynn Vantrice Marshall Cna

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatric Residential Treatment Facility
1839 N 39TH ST
PHOENIX, AZ 85008
Community Based Residential Treatment Facility, Mental Illness
1839 N 39TH ST
PHOENIX, AZ 85008
Substance Abuse Rehabilitation Facility
1839 N 39TH ST
PHOENIX, AZ 85008

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235926718, enumerated as an "individual" on April 21, 2025.

The provider is located at 1839 N 39TH ST PHOENIX, AZ 85008 and the phone number is (817) 819-7710.

Nurse's Aide with taxonomy code 376K00000X.