Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shakira Waller

Individual provider Nurse's Aide · NPI 1053950238

Shakira Waller is a Nurse's Aide in Philadelphia, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2020
Specialties on file
5

Practice location Address checks out

2929 Arch St
Philadelphia, PA 19104
Phone: (215) 872-0138
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Home Health Agency (primary) Taxonomy 251E00000X (PA)
Nurse's Aide Taxonomy 376K00000X · Licence 10012712 (PA)
In Home Supportive Care Agency Taxonomy 253Z00000X (PA)
Home Delivered Meals Taxonomy 332U00000X (PA)
Adult Companion Taxonomy 372600000X (PA)

Record details

NPI number1053950238
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 5, 2020
Last updated in NPPESJanuary 5, 2020
Certification dateJanuary 5, 2020
Mailing address2612 E Madison St, Philadelphia, PA 19134-5202

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