Individual provider · Type 1 NPI

Shadonna Adofi Blake, LPN

Licensed Practical Nurse · Far Rockaway, NY

NPI number 1003206624 Active

Practice location

1424 Mott Ave
Far Rockaway, NY 11691-5108

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X321286 (NY)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1003206624

Shadonna Adofi Blake, LPN's National Provider Identifier is 1003206624, issued on Feb 3, 2015. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Far Rockaway, NY. The record was last updated on Feb 3, 2015.