National Provider Identifier
Quivonna Shine, LPN
Quivonna Shine, LPN is listed in the NPPES registry with a primary specialty of Registered Nurse in Buffalo, NY and a listed phone number of (716) 885-2261.
Profile Overview
- NPI
- 1396013785
- Provider Type
- Individual
- Primary Specialty
- Registered Nurse
- Enumeration Date
- December 13, 2011
- Last Updated
- January 15, 2024
Practice Location
- 400 Forest Ave
- Buffalo, NY 14213-1207
Phone: (716) 885-2261
Mailing Address
- 507 Stockbridge Ave
- Buffalo, NY 14215-1707
Specialties
- Registered Nurse (163W00000X)
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1396013785
- Entity Type
- Individual
- Last Name
- Shine
- First Name
- Quivonna
- Credential
- LPN
- Mailing Street Address
- 507 Stockbridge Ave
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14215-1707
- Mailing Country
- US
- Mailing Phone
- (716) 578-0038
- Practice Street Address
- 400 Forest Ave
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14213-1207
- Practice Country
- US
- Practice Phone
- (716) 885-2261
- Enumeration Date
- December 13, 2011
- Last Updated
- January 15, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- January 15, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Registered Nurse (163W00000X), Licensed Practical Nurse (164W00000X)