National Provider Identifier

Shawna King, LPN

Shawna King, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Brockport, NY and a listed phone number of (585) 613-6572.

NPI 1962828558Brockport, NYLicensed Practical Nurse

Profile Overview

NPI
1962828558
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
March 06, 2014
Last Updated
March 06, 2014

Practice Location

  • 1380 Clarkson Parma Tl RD
  • Brockport, NY 14420-9423

Phone: (585) 613-6572

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1962828558
Entity Type
Individual
Last Name
King
First Name
Shawna
Credential
LPN
Mailing Street Address
1380 Clarkson Parma Tl RD
Mailing City
Brockport
Mailing State
NY
Mailing ZIP Code
14420-9423
Mailing Country
US
Mailing Phone
(585) 613-6572
Practice Street Address
1380 Clarkson Parma Tl RD
Practice City
Brockport
Practice State
NY
Practice ZIP Code
14420-9423
Practice Country
US
Practice Phone
(585) 613-6572
Enumeration Date
March 06, 2014
Last Updated
March 06, 2014
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)