IndividualActive
Rose Shaddon, TAXI
NPI 1235833302 · Driver · Russellville, AR
Provider details
- NPI number
- 1235833302
- Entity type
- Individual
- Primary specialty
- DriverOther Service Providers
- Credential
- TAXI
- Sex
- Female
- Sole proprietor
- No
- License
- 0421-016067 (AR)
Practice location
705 Williamson Way
Russellville, AR 72801-6923
Phone: (479) 280-2132
Mailing address
705 Williamson Way
Russellville, AR 72801-6923
Registry dates
- Enumerated
- 2023-03-30
- Last updated
- 2023-03-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.