Individual provider · Type 1 NPI

Shivaughn White

Licensed Practical Nurse · Valley Stream, NY

NPI number 1013797000 Active

Practice location

497 Rockaway Ave
Valley Stream, NY 11581-1909

Call (718) 845-2621 Map

Mailing address

5609 Beverley Rd # 2
Brooklyn, NY 11203-5407

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X337825-01 (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 1013797000

Shivaughn White's National Provider Identifier is 1013797000, issued on Oct 5, 2023. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Valley Stream, NY. The record was last updated on Oct 5, 2023.