National Provider Identifier

Shaiasia Davidson, LPN

Shaiasia Davidson, 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) 405-5076.

NPI 1659040970Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1659040970
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
September 09, 2021
Last Updated
September 09, 2021

Practice Location

  • 48 Huntington Park Apt 1
  • Rochester, NY 14621-5245

Phone: (585) 405-5076

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1659040970
Entity Type
Individual
Last Name
Davidson
First Name
Shaiasia
Credential
LPN
Mailing Street Address
48 Huntington Park Apt 1
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14621-5245
Mailing Country
US
Mailing Phone
(585) 405-5076
Practice Street Address
48 Huntington Park Apt 1
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14621-5245
Practice Country
US
Practice Phone
(585) 405-5076
Enumeration Date
September 09, 2021
Last Updated
September 09, 2021
Sex
Female
Sole Proprietor
Yes
Taxonomy Group 1
193400000X Single Specialty Group
Certification Date
September 09, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)