Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHAKIRA WALLER
Active Sole ProprietorHome Health · PHILADELPHIA, PA
Registration Details
- NPI Number
- 1053950238
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 5, 2020 (6.2936232890022 yrs)
- Last Updated
- Jan 5, 2020
- License
-
10012712 (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2929 ARCH STREETPHILADELPHIA, PA, 19104Browse PA providers · Browse ZIP 19104
- Phone
- 2158720138
- Primary Specialty
-
Home Health
251E00000X
- Additional Specialty
- Home Health
- Additional Specialty
- In Home Supportive Care Agency
- Additional Specialty
- Home Delivered Meals
- Additional Specialty
- Adult Companion
Other Home Health Providers in PHILADELPHIA, PA
| Name | Credential | NPI |
|---|---|---|
| MR. HUMBERTO DE LA CRUZ SR. | — | 1093909459 |
| RYAN CHRISTOPHER BROWN | DPT | 1053593772 |
| MARINA RABINOVICH | — | 1477719201 |
| MR. CLARENCE A STUPPARD SR. | ADMINISTRATOR | 1508175092 |
| K LEWIS | — | 1134410814 |
| RUTH BASCO | — | 1194143305 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.