Laquanta S Shaw, NONTYPICAL
Laquanta S Shaw, NONTYPICAL is a Home Health Aide in Indianapolis, Indiana. Licensed in Indiana. Registered with an NPI since 2019.
- Licensed in
- IN
- In the registry since
- 2019
- Specialties on file
- 2
Practice location Address checks out
4160 Tahoe CtIndianapolis, IN 46235-8823
Phone: (317) 627-8590
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Driver (primary) | Taxonomy 172A00000X · Licence 2350-45-6933 (IN) |
|---|---|
| Home Health Aide | Taxonomy 374U00000X · Licence HHA0901819 (IN) |
Record details
| NPI number | 1730735903 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | NONTYPICAL |
| Sole proprietor | No |
| NPI enumerated | August 14, 2019 |
| Last updated in NPPES | September 16, 2025 |
| Certification date | September 16, 2025 |
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