National Provider Identifier

Shayla Denise Brockington

Shayla Denise Brockington is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 957-5969.

NPI 1124987904Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1124987904
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
January 19, 2026
Last Updated
January 19, 2026

Practice Location

  • 377 Wildbriar RD
  • Rochester, NY 14623-4249

Phone: (585) 957-5969

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1124987904
Entity Type
Individual
Last Name
Brockington
First Name
Shayla
Middle Name
Denise
Mailing Street Address
377 Wildbriar RD
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14623-4249
Mailing Country
US
Practice Street Address
377 Wildbriar RD
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14623-4249
Practice Country
US
Practice Phone
(585) 957-5969
Enumeration Date
January 19, 2026
Last Updated
January 19, 2026
Sex
Female
Sole Proprietor
Yes
Taxonomy Group 1
193400000X Single Specialty Group
Certification Date
January 19, 2026
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)