Provider Demographics
NPI:1033695226
Name:SINGLETON, TANYA Y (RN, IBCLC)
Entity Type:Individual
Prefix:
First Name:TANYA
Middle Name:Y
Last Name:SINGLETON
Suffix:
Gender:F
Credentials:RN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6917 SMITH STATION RD
Mailing Address - Street 2:
Mailing Address - City:SPOTSYLVANIA
Mailing Address - State:VA
Mailing Address - Zip Code:22553-1808
Mailing Address - Country:US
Mailing Address - Phone:540-226-4176
Mailing Address - Fax:
Practice Address - Street 1:6917 SMITH STATION RD
Practice Address - Street 2:
Practice Address - City:SPOTSYLVANIA
Practice Address - State:VA
Practice Address - Zip Code:22553-1808
Practice Address - Country:US
Practice Address - Phone:540-226-4176
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-11
Last Update Date:2018-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001125323163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant