Provider Demographics
NPI:1427074962
Name:PINARD, SHANIQUA
Entity type:Individual
Prefix:MRS
First Name:SHANIQUA
Middle Name:
Last Name:PINARD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SHANIQUA
Other - Middle Name:
Other - Last Name:BURKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:1936 SUN VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23464-7420
Mailing Address - Country:US
Mailing Address - Phone:757-776-9162
Mailing Address - Fax:212-316-7945
Practice Address - Street 1:1936 SUN VALLEY DR
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23464-7420
Practice Address - Country:US
Practice Address - Phone:757-769-1177
Practice Address - Fax:757-276-0077
Is Sole Proprietor?:No
Enumeration Date:2006-07-15
Last Update Date:2024-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001264575163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse