Provider Demographics
NPI:1841854726
Name:ROSKEY, SHAUNA (RN)
Entity type:Individual
Prefix:
First Name:SHAUNA
Middle Name:
Last Name:ROSKEY
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 1:7 SILKWOOD CIR
Mailing Address - Street 2:
Mailing Address - City:SPENCERPORT
Mailing Address - State:NY
Mailing Address - Zip Code:14559-2404
Mailing Address - Country:US
Mailing Address - Phone:585-355-1391
Mailing Address - Fax:
Practice Address - Street 1:7 SILKWOOD CIR
Practice Address - Street 2:
Practice Address - City:SPENCERPORT
Practice Address - State:NY
Practice Address - Zip Code:14559-2404
Practice Address - Country:US
Practice Address - Phone:585-355-1391
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-26
Last Update Date:2019-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY564764163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse