Individual provider · Type 1 NPI

Kimberly Stavola, LPN

Licensed Practical Nurse · Shirley, NY

NPI number 1043043938 Active

Practice location

33 Malba Dr
Shirley, NY 11967-3029

Call (631) 413-2337 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X351003 (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 1043043938

Kimberly Stavola, LPN's National Provider Identifier is 1043043938, issued on Aug 26, 2024. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Shirley, NY. The record was last updated on Aug 26, 2024.