Shaquana Latifah Nevels, LPN
Individual provider Active NPI Licensed Practical Nurse · Brighton, NY
NPI 1164069613 · NPPES record last updated Dec 3, 2019
Key facts
- NPI
- 1164069613
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 337025-01 (NY)
- Practice address
- 50 Knollbrook Rd Apt 3
Brighton, NY 14610-2158 - Phone
- (585) 287-2936
- NPI assigned
- Dec 3, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 337025-01 | NY | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 337025-01 | NY | Yes |
Addresses
Primary practice location
50 Knollbrook Rd Apt 3
Brighton, NY 14610-2158
Mailing address
50 Knollbrook Rd Apt 3
Brighton, NY 14610-2158
Phone (585) 287-2936
Other providers in Brighton, NY
- Sarah Ann Dirks
- Lydell Hill
- Kaitlin Larissa Kulzer
- Kaylee Lewis
- Holly Jennifer Mistark
- Cassandra Peete
- Christopher Adolphus Reader
- Melinda Sue Westbrook
- Wound Pros New York
All providers in Brighton, NY · Licensed Practical Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 3, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.