Provider Demographics
NPI:1043956758
Name:SINGLETON, DAWN TINA
Entity Type:Individual
Prefix:MRS
First Name:DAWN
Middle Name:TINA
Last Name:SINGLETON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11711 PRINCETON PKE STE341
Mailing Address - Street 2:
Mailing Address - City:SPRINGDALE
Mailing Address - State:OH
Mailing Address - Zip Code:45246
Mailing Address - Country:US
Mailing Address - Phone:513-252-7996
Mailing Address - Fax:513-510-5864
Practice Address - Street 1:11288 LINCOLNSHIRE DR
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45240-2903
Practice Address - Country:US
Practice Address - Phone:513-276-1671
Practice Address - Fax:513-510-5864
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-06
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
253Z00000X, 374U00000X
OH202211802138374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No253Z00000XAgenciesIn Home Supportive Care