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
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 321286 (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.