Shakira Footman, LPN
Licensed Practical Nurse in Brooklyn, NY. Individual provider (NPI-1).
NPI number1982138178
StatusActive
Last updated in NPPESJul 25, 2024
Details
- NPI
- 1982138178
- Entity type
- Individual (NPI-1)
- Name
- Shakira Footman
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 14, 2017
- Certification date
- Jul 25, 2024
- Last updated
- Jul 25, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 327951 | NY | Yes |
| 163W00000X | Registered Nurse | 815966 | NY |
Practice location
1623 Kings HwyBrooklyn, NY 11229-1209
Phone 929-273-7601
Mailing address
1623 Kings HwyBrooklyn, NY 11229-1209
Phone 929-273-7601
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