Individual provider · Type 1 NPI

Shushano Shimonov, LPN

Licensed Practical Nurse · Forest Hills, NY

NPI number 1790030864 Active

Practice location

6259 108th St Apt 3L
Forest Hills, NY 11375-1307

Call (718) 275-9718 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X269184 (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 1790030864

Shushano Shimonov, LPN's National Provider Identifier is 1790030864, issued on Jul 16, 2012. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Forest Hills, NY. The record was last updated on Jul 16, 2012.