SHIVAUGHN WHITE
NPI 1013797000
Licensed Practical Nurse in Valley Stream, NY

Q: What is the provider's specialty?

The provider's specialty is Licensed Practical Nurse with taxonomy code 164W00000X.

Active since October 05, 2023

497 ROCKAWAY AVE, VALLEY STREAM, NY 11581(718) 845-2621 Get Directions Write a Review

NPPES record last updated: October 5, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Shivaughn White NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHIVAUGHN WHITE (NPI 1013797000) is an individual licensed practical nurse in Valley Stream, New York, licensed in New York (337825-01) and active in the NPI registry since October 2023.

NPPES Registry Identity

NPI1013797000

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameSHIVAUGHN WHITE

Location Address497 ROCKAWAY AVEValley Stream, NY 11581-1909

Mailing Address5609 Beverley Rd # 2Brooklyn, NY 11203-5407 · (631) 552-1192

Phone(718) 845-2621

Sole ProprietorYes

Enumeration DateOctober 5, 2023

NPPES CertifiedOctober 5, 2023

✔ NPI 1013797000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in NY · 337825-01

Definition

A licensed practical nurse 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.

497 ROCKAWAY AVE, Valley Stream, NY 11581

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