NPI 1083458145

Shaquetta a Pantry, LPN

Practitioner Licensed Vocational Nurse South Ozone Park, NY

Practice location

Address: 12511 149th Ave, South Ozone Park, NY 11420-3717
Phone: (631) 379-6041

Registered specialties

Licensed Vocational Nurse Primary

Nursing Service Providers Taxonomy 164X00000X Licence 339939 (NY)

Other Licensed Vocational Nurse providers in New York →

Registry record

NPI: 1083458145
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Jun 2024
Record last updated: 24 Jun 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.