Healthcare Provider Details

I. General information

NPI: 1598900409
Provider Name (Legal Business Name): SHAMIKA MALDONADO LPN,PCHA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/05/2008
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

552 EXTON COMMONS N/A
EXTON PA
19341
US

IV. Provider business mailing address

552 EXTON COMMONS SUITE 552
EXTON PA
19341
US

V. Phone/Fax

Practice location:
  • Phone: 856-443-3367
  • Fax:
Mailing address:
  • Phone: 484-388-3358
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: