National Provider Identifier
Shakia Wilson
Shakia Wilson is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 820-5072.
Profile Overview
- NPI
- 1003337395
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- June 28, 2017
- Last Updated
- June 28, 2017
Practice Location
- 114 Green Knolls Dr Apt C
- Rochester, NY 14620-4840
Phone: (585) 820-5072
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1003337395
- Entity Type
- Individual
- Last Name
- Wilson
- First Name
- Shakia
- Mailing Street Address
- 114 Green Knolls Dr Apt C
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14620-4840
- Mailing Country
- US
- Practice Street Address
- 114 Green Knolls Dr Apt C
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14620-4840
- Practice Country
- US
- Practice Phone
- (585) 820-5072
- Enumeration Date
- June 28, 2017
- Last Updated
- June 28, 2017
- Sex
- Female
- Sole Proprietor
- Yes
- Taxonomies
- Licensed Practical Nurse (164W00000X)