Individual provider · Type 1 NPI

Shatara Devaughn

Licensed Practical Nurse · Brooklyn, NY

NPI number 1669830642 Active

Practice location

499 Lincoln Pl
Brooklyn, NY 11238-6244

Call (347) 458-3417 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X321290 (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 1669830642

Shatara Devaughn's National Provider Identifier is 1669830642, issued on Feb 4, 2016. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Brooklyn, NY. The record was last updated on Feb 4, 2016.