Individual provider · Type 1 NPI
Shyanna Pettis
Homemaker · Indianapolis, IN
NPI number
1962368860
Active
Practice location
3725 Bonn Blvd
Indianapolis, IN 46228-6788
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Homemaker Primary | 376J00000X | 25-019673 (IN) |
Homemaker: An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards.
Another provider at this address
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About NPI 1962368860
Shyanna Pettis's National Provider Identifier is 1962368860, issued on Jan 5, 2026. The primary taxonomy on file is Homemaker (376J00000X), and the practice location is in Indianapolis, IN. The record was last updated on Jan 5, 2026.