IndividualActive
Hadija Shaa
NPI 1902695679 · Licensed Vocational Nurse · Deforest, WI
Provider details
- NPI number
- 1902695679
- Entity type
- Individual
- Primary specialty
- Licensed Vocational NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- LP60836920 (WA)
Specialties & taxonomies
Nursing Service Providers
Practice location
4958 Innovation Dr Apt 301
Deforest, WI 53532-2838
Phone: (425) 540-8132
Approximate (ZIP-level) locationGet directions
Mailing address
4958 Innovation Dr Apt 301
Deforest, WI 53532-2838
Registry dates
- Enumerated
- 2025-05-01
- Last updated
- 2025-05-01
- Certified
- 2025-04-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.