National Provider Identifier
Shaheedah Davenport, LPN
Shaheedah Davenport, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Buffalo, NY and a listed phone number of (716) 473-0912.
Profile Overview
- NPI
- 1093290082
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- September 26, 2018
- Last Updated
- September 26, 2018
Practice Location
- 63 Euclid Ave
- Buffalo, NY 14211-2603
Phone: (716) 473-0912
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1093290082
- Entity Type
- Individual
- Last Name
- Davenport
- First Name
- Shaheedah
- Credential
- LPN
- Mailing Street Address
- 63 Euclid Ave
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14211-2603
- Mailing Country
- US
- Mailing Phone
- (716) 473-0912
- Practice Street Address
- 63 Euclid Ave
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14211-2603
- Practice Country
- US
- Practice Phone
- (716) 473-0912
- Enumeration Date
- September 26, 2018
- Last Updated
- September 26, 2018
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)
- Other Identifiers
- NA (NY, Na)