Individual
ROBERTA SHIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5 MILES SOUTH OF TEESTO CHAPTER, WINSLOW, AZ 86047-7026
(928) 657-3548
Mailing address
PO BOX 7026, WINSLOW, AZ 86047-7026
(928) 657-3548
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
147497
STATE PROVIDER ID
AZ
Enumeration date
05/07/2007
Last updated
09/11/2025
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