Provider Demographics
NPI:1033540968
Name:SINGLETARY, NICOLA (IBCLC)
Entity Type:Individual
Prefix:MRS
First Name:NICOLA
Middle Name:
Last Name:SINGLETARY
Suffix:
Gender:F
Credentials:IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3517 BOSCO RD
Mailing Address - Street 2:
Mailing Address - City:NEW HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27562-9111
Mailing Address - Country:US
Mailing Address - Phone:919-610-8089
Mailing Address - Fax:
Practice Address - Street 1:3517 BOSCO RD
Practice Address - Street 2:
Practice Address - City:NEW HILL
Practice Address - State:NC
Practice Address - Zip Code:27562-9111
Practice Address - Country:US
Practice Address - Phone:919-610-8089
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-12-03
Last Update Date:2013-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
L-41888174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN