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SHADONNA ADOFI BLAKE LPN NPI 1003206624

NPI Profile

NPI: 1003206624
Provider Name: SHADONNA ADOFI BLAKE, LPN
Classification: Licensed Practical Nurse - 164W00000X
Entity Type: Individual
Address:
1424 MOTT AVE
FAR ROCKAWAY, NY
ZIP 11691
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Phone: (347) 752-2926

Shadonna Adofi Blake, LPN is a licensed practical nurse in Far Rockaway, NY. The provider is an individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. Shadonna Adofi Blake, LPN NPI is 1003206624. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1424 MOTT AVE
FAR ROCKAWAY, NY
ZIP 11691-108
Phone: (347) 752-2926

The enumeration date for this NPI number is 2/3/2015 and was last updated on 2/3/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1164W00000XLicensed Practical Nurse321286NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 6/5/2020

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.