Provider Demographics
NPI:1265135180
Name:LOKSHINA, IRINA (RN)
Entity type:Individual
Prefix:
First Name:IRINA
Middle Name:
Last Name:LOKSHINA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2015 SHORE PKWY APT 7B
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11214-6837
Mailing Address - Country:US
Mailing Address - Phone:347-403-2824
Mailing Address - Fax:
Practice Address - Street 1:2015 SHORE PKWY APT 7B
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11214-6837
Practice Address - Country:US
Practice Address - Phone:347-403-2824
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-22
Last Update Date:2023-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY628477163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health