Provider Demographics
NPI:1992137228
Name:SHOVKUN, LYUBOV (RN)
Entity type:Individual
Prefix:MISS
First Name:LYUBOV
Middle Name:
Last Name:SHOVKUN
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 1:2250 E 4TH ST APT 4P
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11223-4813
Mailing Address - Country:US
Mailing Address - Phone:347-603-5989
Mailing Address - Fax:347-702-8045
Practice Address - Street 1:2250 E 4TH ST APT 4P
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11223-4813
Practice Address - Country:US
Practice Address - Phone:347-603-5989
Practice Address - Fax:347-702-8045
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-09
Last Update Date:2013-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY566436-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse