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Shaheedah Davenport, LPN
Licensed Practical Nurse in Buffalo, New York
NPI 1093290082

Shaheedah Davenport is a Licensed Practical Nurse based in Buffalo, NY. Shaheedah Davenport practices in Buffalo, NY and has the professional credentials of LPN. The NPI Number for Shaheedah Davenport is 1093290082 and holds a License No. 332852-1 (New York).

The current practice location address for Shaheedah Davenport is 63 Euclid Ave, Buffalo, NY and can be reached out via phone at 716-473-0912.

Location: 63 Euclid Ave, Buffalo, NY, 14211-2603
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093290082
Provider Name
Shaheedah Davenport
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
63 Euclid Ave, Buffalo, NY, 14211-2603
Phone Number
716-473-0912
Fax Number
Provider Enumeration Date
09/26/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NA 01 NY NA
institution
Provider Business Practice Location Address Details
Address
63 Euclid Ave
City
Buffalo
State
New York
Zip
14211-2603
Phone Number
716-473-0912
Fax Number
person
Provider Business Mailing Address Details
Address
63 Euclid Ave
City
Buffalo
State
New York
Zip
14211-2603
Phone Number
716-473-0912
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
332852-1 (New York)
Definition
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.
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