National Provider Identifier
Starica Shanell Davis, LPN
Starica Shanell Davis, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Gates, NY and a listed phone number of (585) 285-9673.
Profile Overview
- NPI
- 1780955930
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- January 19, 2012
- Last Updated
- January 19, 2012
Practice Location
- 25 Cross Gates RD
- Gates, NY 14606-3306
Phone: (585) 285-9673
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1780955930
- Entity Type
- Individual
- Last Name
- Davis
- First Name
- Starica
- Middle Name
- Shanell
- Credential
- LPN
- Provider Other Last Name
- Green
- Provider Other First Name
- Starica
- Provider Other Middle Name
- Shanell
- Provider Other Credential Text
- LPN
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 25 Cross Gates RD
- Mailing City
- Gates
- Mailing State
- NY
- Mailing ZIP Code
- 14606-3306
- Mailing Country
- US
- Mailing Phone
- (585) 285-9673
- Practice Street Address
- 25 Cross Gates RD
- Practice City
- Gates
- Practice State
- NY
- Practice ZIP Code
- 14606-3306
- Practice Country
- US
- Practice Phone
- (585) 285-9673
- Enumeration Date
- January 19, 2012
- Last Updated
- January 19, 2012
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)