MRS. KIMBERLY STAVOLA LPN
NPI 1043043938
Licensed Practical Nurse in Shirley, NY

Active since August 26, 2024
33 MALBA DR, SHIRLEY, NY 11967(631) 413-2337 Get Directions Write a Review

NPPES record last updated: August 26, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Kimberly Stavola Lpn NPPES

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

MRS. KIMBERLY STAVOLA LPN (NPI 1043043938) is an individual licensed practical nurse in Shirley, New York, licensed in New York (351003) and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1043043938
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMRS. KIMBERLY STAVOLACredential: LPN
Location Address33 MALBA DRShirley, NY 11967-3029
Mailing Address33 Malba DrShirley, NY 11967-3029 · (631) 413-2337
Sole ProprietorYes
Enumeration DateAugust 26, 2024
NPPES CertifiedAugust 25, 2024
NPI 1043043938 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 · 351003
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.

33 MALBA DR, Shirley, NY 11967

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Stavola's NPI number?

The NPI number for Kimberly Stavola is 1043043938. It was assigned to this individual provider in the NPPES registry on August 26, 2024.

Where is Kimberly Stavola located?

Kimberly Stavola practices at 33 Malba Dr, Shirley, NY 11967. The listed phone number is (631) 413-2337.

What is Kimberly Stavola's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Kimberly Stavola was last updated on August 26, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.