Shardae White
Registered Nurse in Brooklyn, NY. Individual provider (NPI-1).
NPI number1124635644
StatusActive
Last updated in NPPESMay 26, 2023
Details
- NPI
- 1124635644
- Entity type
- Individual (NPI-1)
- Name
- Shardae White
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 29, 2020
- Certification date
- May 26, 2023
- Last updated
- May 26, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 786344 | NY | Yes |
Practice location
1303 Remsen AveBrooklyn, NY 11236-4219
Phone 917-526-1665
Mailing address
1303 Remsen AveBrooklyn, NY 11236-4219
Phone 917-526-1665
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