Provider Demographics
NPI:1043581556
Name:SINGREY, COURTNEY CHAD ALAN (RN, NP-BC)
Entity Type:Individual
Prefix:MR
First Name:COURTNEY
Middle Name:CHAD ALAN
Last Name:SINGREY
Suffix:
Gender:M
Credentials:RN, NP-BC
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1423 S BIG BEND BLVD
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63117-2203
Mailing Address - Country:US
Mailing Address - Phone:314-875-0380
Mailing Address - Fax:314-875-0382
Practice Address - Street 1:1423 S BIG BEND BLVD
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63117-2203
Practice Address - Country:US
Practice Address - Phone:314-875-0380
Practice Address - Fax:314-875-0382
Is Sole Proprietor?:No
Enumeration Date:2012-01-16
Last Update Date:2012-01-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2005032373363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health