NPI 1043054091

Shira Kahliah Johnson

Practitioner Personal Care Attendant Fort Wayne, IN

Practice location

Address: 7823 Preston Pointe Dr, Fort Wayne, IN 46804-5705
Phone: (260) 205-4408

Registered specialties (5)

Personal Care Attendant Primary

Nursing Service Related Providers Taxonomy 3747P1801X Licence 24017457 (IN)

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Adult Companion

Nursing Service Related Providers Taxonomy 372600000X Licence 240174571 (IN)

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Home Health Aide

Nursing Service Related Providers Taxonomy 374U00000X Licence 240174571 (IN)

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Homemaker

Nursing Service Related Providers Taxonomy 376J00000X Licence 240174571 (IN)

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Nurse's Aide

Nursing Service Related Providers Taxonomy 376K00000X Licence 240174571 (IN)

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Registry record

NPI: 1043054091
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Jun 2024
Record last updated: 24 Jun 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.