National Provider Identifier

Shayla Shabazz, LPN

Shayla Shabazz, 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) 766-3783.

NPI 1558168591Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1558168591
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
February 27, 2025
Last Updated
February 27, 2025

Practice Location

  • 301 Norcrest Dr
  • Rochester, NY 14617-1307

Phone: (585) 766-3783

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1558168591
Entity Type
Individual
Last Name
Shabazz
First Name
Shayla
Credential
LPN
Mailing Street Address
301 Norcrest Dr
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14617-1307
Mailing Country
US
Practice Street Address
301 Norcrest Dr
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14617-1307
Practice Country
US
Practice Phone
(585) 766-3783
Enumeration Date
February 27, 2025
Last Updated
February 27, 2025
Sex
Female
Sole Proprietor
No
Certification Date
February 27, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)