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

Shani Fuqua

Individual provider Personal Care Attendant · NPI 1407636855

Shani Fuqua is a Personal Care Attendant in Las Vegas, Nevada. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

4201 S Decatur Blvd Unit 2128
Las Vegas, NV 89103
Phone: (702) 218-0265
Show map & directions

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

Specialties & licences

Personal Care Attendant (primary) Taxonomy 3747P1801X

Record details

NPI number1407636855
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 3, 2023
Last updated in NPPESOctober 3, 2023
Certification dateSeptember 19, 2023
Mailing address4201 S Decatur Blvd Apt 2128, Las Vegas, NV 89103-6834

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