Individual
SHADEANA NICHOLSON
Active
Individual
SHADEANA NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
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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