National Provider Identifier

Shantiqua Quashay Lewis

Shantiqua Quashay Lewis is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 441-8602.

NPI 1164245148Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1164245148
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
November 06, 2024
Last Updated
November 06, 2024

Practice Location

  • 66 Maria St Apt 2
  • Rochester, NY 14621-5731

Phone: (585) 441-8602

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1164245148
Entity Type
Individual
Last Name
Lewis
First Name
Shantiqua
Middle Name
Quashay
Mailing Street Address
66 Maria St Apt 2
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14621-5731
Mailing Country
US
Mailing Phone
(585) 441-8602
Practice Street Address
66 Maria St Apt 2
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14621-5731
Practice Country
US
Practice Phone
(585) 441-8602
Enumeration Date
November 06, 2024
Last Updated
November 06, 2024
Sex
Female
Sole Proprietor
Yes
Certification Date
November 06, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)