Provider Demographics
NPI:1457123408
Name:STOKES, SHANITA LUBERTA (RN)
Entity Type:Individual
Prefix:MISS
First Name:SHANITA
Middle Name:LUBERTA
Last Name:STOKES
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:SHANITA
Other - Middle Name:
Other - Last Name:ROSARIO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:4406 BRENTA MOUNTAIN LN
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77493-3240
Mailing Address - Country:US
Mailing Address - Phone:832-964-3828
Mailing Address - Fax:
Practice Address - Street 1:4406 BRENTA MOUNTAIN LN
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77493-3240
Practice Address - Country:US
Practice Address - Phone:832-964-3828
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-24
Last Update Date:2023-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX838108163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse