Provider Demographics
NPI:1700455565
Name:SINGH, SHALINI DEVI (FNP)
Entity Type:Individual
Prefix:MRS
First Name:SHALINI
Middle Name:DEVI
Last Name:SINGH
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5300 W HILLSBORO BLVD STE 207
Mailing Address - Street 2:
Mailing Address - City:COCONUT CREEK
Mailing Address - State:FL
Mailing Address - Zip Code:33073-4397
Mailing Address - Country:US
Mailing Address - Phone:954-570-7644
Mailing Address - Fax:954-570-7884
Practice Address - Street 1:5300 W HILLSBORO BLVD STE 207
Practice Address - Street 2:
Practice Address - City:COCONUT CREEK
Practice Address - State:FL
Practice Address - Zip Code:33073-4397
Practice Address - Country:US
Practice Address - Phone:954-570-7644
Practice Address - Fax:954-570-7884
Is Sole Proprietor?:No
Enumeration Date:2021-06-24
Last Update Date:2022-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9339984163W00000X
FLF06211670363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse