National Provider Identifier
Shavontae McCloud
Shavontae McCloud is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 483-6542.
Profile Overview
- NPI
- 1528803921
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- June 27, 2024
- Last Updated
- June 27, 2024
Practice Location
- 332 Hawley St
- Rochester, NY 14611-3610
Phone: (585) 483-6542
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1528803921
- Entity Type
- Individual
- Last Name
- McCloud
- First Name
- Shavontae
- Mailing Street Address
- 332 Hawley St
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14611-3610
- Mailing Country
- US
- Mailing Phone
- (585) 483-6542
- Practice Street Address
- 332 Hawley St
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14611-3610
- Practice Country
- US
- Practice Phone
- (585) 483-6542
- Enumeration Date
- June 27, 2024
- Last Updated
- June 27, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- June 27, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)