Provider Demographics
NPI:1164973079
Name:SINGH, DAVIECA (ARNP, PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:DAVIECA
Middle Name:
Last Name:SINGH
Suffix:
Gender:F
Credentials:ARNP, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8815 CONROY WINDERMERE RD UNIT 614
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32835-3129
Mailing Address - Country:US
Mailing Address - Phone:321-231-9120
Mailing Address - Fax:
Practice Address - Street 1:2815 ELLIOTT AVE STE 100
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98121-2991
Practice Address - Country:US
Practice Address - Phone:206-331-3111
Practice Address - Fax:206-331-3189
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-17
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2825082363LF0000X
WAAP61046397363LF0000X, 363LP0808X
FL2019077090363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily