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Individual

SHADEANA NICHOLSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNA

Contact information

Practice address
4227 LARKIN ST, SARASOTA, FL 34232-5024
(941) 549-4120
Mailing address
4227 LARKIN ST, SARASOTA, FL 34232-5024
(941) 549-4120

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
CNA225687
FL
376J00000X
Homemaker
CNA225687
FL
376K00000X
Nurse's Aide
CNA225687
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
107572700
FL
Enumeration date
06/25/2020
Last updated
05/06/2023
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