Individual provider · Type 1 NPI

Hadija Shaa

Licensed Vocational Nurse · Deforest, WI

NPI number 1902695679 Active

Practice location

4958 Innovation Dr Apt 301
Deforest, WI 53532-2838

Specialties and licenses

TaxonomyCodeLicense
Licensed Vocational Nurse Primary 164X00000XLP60836920 (WA)

Licensed Vocational Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job re…

About NPI 1902695679

Hadija Shaa's National Provider Identifier is 1902695679, issued on May 1, 2025. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in Deforest, WI. The record was last updated on May 1, 2025.