Provider Demographics
NPI:1023608577
Name:SHAW-LINDO, O'MOY
Entity type:Individual
Prefix:
First Name:O'MOY
Middle Name:
Last Name:SHAW-LINDO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:461 FARMINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06105-4494
Mailing Address - Country:US
Mailing Address - Phone:860-752-9220
Mailing Address - Fax:888-522-4618
Practice Address - Street 1:461 FARMINGTON AVE
Practice Address - Street 2:
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06105-4494
Practice Address - Country:US
Practice Address - Phone:860-752-9220
Practice Address - Fax:888-522-4618
Is Sole Proprietor?:No
Enumeration Date:2021-01-19
Last Update Date:2021-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker