Individual
ANGELA SHIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5826 PENTRIDGE ST, PHILADELPHIA, PA 19143-4532
(267) 241-1411
Mailing address
5826 PENTRIDGE ST, PHILADELPHIA, PA 19143-4532
(484) 561-7327
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
31123601
PA
163WC2100X
Continence Care Registered Nurse
31123601
PA
253Z00000X
In Home Supportive Care Agency
31123601
PA
372500000X
Chore Provider
31123601
PA
372600000X
Adult Companion
31123601
PA
3747A0650X
Attendant Care Provider
31123601
PA
3747P1801X
Personal Care Attendant
Primary
31123601
PA
374U00000X
Home Health Aide
31123601
PA
376J00000X
Homemaker
31123601
PA
376K00000X
Nurse's Aide
31123601
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31123601
—
PA
Enumeration date
09/26/2016
Last updated
02/28/2022
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