Shaquana Latifah Nevels, LPN
Licensed Practical Nurse in Brighton, NY. Individual provider (NPI-1).
NPI number1164069613
StatusActive
Last updated in NPPESDec 3, 2019
Details
- NPI
- 1164069613
- Entity type
- Individual (NPI-1)
- Name
- Shaquana Latifah Nevels
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 3, 2019
- Last updated
- Dec 3, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 337025-01 | NY | Yes |
Practice location
50 Knollbrook Rd Apt 3Brighton, NY 14610-2158
Phone 585-287-2936
Mailing address
50 Knollbrook Rd Apt 3Brighton, NY 14610-2158
Phone 585-287-2936
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