Provider Demographics
NPI:1063795607
Name:SHAKIR, NAJLA Q (LPN)
Entity type:Individual
Prefix:MS
First Name:NAJLA
Middle Name:Q
Last Name:SHAKIR
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 36333
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45236-0333
Mailing Address - Country:US
Mailing Address - Phone:513-348-4464
Mailing Address - Fax:
Practice Address - Street 1:5424 READING RD
Practice Address - Street 2:APT #3
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45237-5334
Practice Address - Country:US
Practice Address - Phone:513-348-4464
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-20
Last Update Date:2011-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN.126088-M-IV164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse