Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | SP022225 | PA |
Y | 363LF0000X | Nurse Practitioner - Family Medicine | SP022225 | PA |
NPI | 1003181801 |
---|---|
Provider Name | Mrs. Shakira Cinalli |
First Address | Folsom, PA 19033-1214 |
Second Address | Folsom, PA 19033-1214 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/03/2012 |
Last Update Date | 09/04/2021 |