NPI 1043043938

Kimberly Stavola, LPN

Practitioner Licensed Practical Nurse Shirley, NY

Practice location

Address: 33 Malba Dr, Shirley, NY 11967-3029
Phone: (631) 413-2337

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence 351003 (NY)

Other Licensed Practical Nurse providers in New York →

Registry record

NPI: 1043043938
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Aug 2024
Record last updated: 26 Aug 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.