Provider Demographics
NPI:1003181801
Name:CINALLI, SHAKIRA (CRNP)
Entity type:Individual
Prefix:MRS
First Name:SHAKIRA
Middle Name:
Last Name:CINALLI
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4016 VENTNOR AVE
Mailing Address - Street 2:
Mailing Address - City:ATLANTIC CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:08401-5933
Mailing Address - Country:US
Mailing Address - Phone:856-861-6500
Mailing Address - Fax:
Practice Address - Street 1:4016 VENTNOR AVE
Practice Address - Street 2:
Practice Address - City:ATLANTIC CITY
Practice Address - State:NJ
Practice Address - Zip Code:08401-5933
Practice Address - Country:US
Practice Address - Phone:856-861-6500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-13
Last Update Date:2025-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN680995163W00000X
NY652476163W00000X
PASP022225363L00000X, 363LF0000X
NJ26NJ01426000363LF0000X
NY267928-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No164W00000XNursing Service ProvidersLicensed Practical Nurse