IndividualActive
Laquanta Shaw, NON TYPICAL
NPI 1730735903 · Driver · Indianapolis, IN
Provider details
- NPI number
- 1730735903
- Entity type
- Individual
- Primary specialty
- DriverOther Service Providers
- Credential
- NON TYPICAL
- Sex
- Female
- Sole proprietor
- No
- License
- HHA0901819 (IN)
Specialties & taxonomies
Other Service Providers
Nursing Service Related Providers
Practice location
4160 Tahoe Ct
Indianapolis, IN 46235-8823
Phone: (317) 627-8590
Approximate (ZIP-level) locationGet directions
Mailing address
55 S State Ave Ste 353
Indianapolis, IN 46201-3890
Registry dates
- Enumerated
- 2019-08-14
- Last updated
- 2025-09-16
- Certified
- 2025-09-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.