National Provider Identifier
Shanita Simone Polk, LPN
Shanita Simone Polk, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 334-9357.
Source: public NPPES record, last updated November 10, 2009. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1205163326
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- November 10, 2009
- Last Updated
- November 10, 2009
Practice Location
- 48 Harwin Dr
- Rochester, NY 14623-4716
Phone: (585) 334-9357
Specialties
- Licensed Practical Nurse (164W00000X)
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Biography
Shanita Simone Polk was a Rochester, New York licensed practical nurse. The clearest official professional record located is a New York State Education Department notice stating that, in May 2014, the Board of Regents granted her application to surrender her LPN license following admitted charges related to a Grand Larceny conviction.
Full Record
- NPI
- 1205163326
- Entity Type
- Individual
- Last Name
- Polk
- First Name
- Shanita
- Middle Name
- Simone
- Name Prefix
- MS.
- Credential
- LPN
- Mailing Street Address
- 48 Harwin Dr
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14623-4716
- Mailing Country
- US
- Mailing Phone
- (585) 334-9357
- Practice Street Address
- 48 Harwin Dr
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14623-4716
- Practice Country
- US
- Practice Phone
- (585) 334-9357
- Enumeration Date
- November 10, 2009
- Last Updated
- November 10, 2009
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)