Nicholson, Shadeana

Nicholson, Shadeana is an individual health care provider with primary practice located at 4227 Larkin St , Sarasota FL 34232-5024. She recently has 3 registered licenses in different health care specialties including Nursing Service Related Providers / Homemaker, Nursing Service Related Providers / Nurse's Aide, Nursing Service Related Providers / Home Health Aide. Nursing Service Related Providers / Home Health Aide is her primary health care specialty. Nicholson, Shadeana can be contacted via phone (941) 549-4120.

Contact Information

Primary practice address
4227 Larkin St Sarasota FL 34232-5024
Phone: (941) 549-4120
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Homemaker 376J00000X CNA225687 Florida
Nursing Service Related Providers / Nurse's Aide 376K00000X CNA225687 Florida
Nursing Service Related Providers / Home Health Aide 374U00000X CNA225687 Florida

Profile Details

NPI number 1992322952
LBN Legal business name Nicholson, Shadeana
Credentials Certified in Nursing Administration (CNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2020
Last updated May 6th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992322952 NPPES
Florida MEDICAID 107572700

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