Provider Demographics
NPI:1205021763
Name:SINGARAJAH, ERLINDA M (ANP-C)
Entity Type:Individual
Prefix:
First Name:ERLINDA
Middle Name:M
Last Name:SINGARAJAH
Suffix:
Gender:F
Credentials:ANP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5000 E MCDOWELL RD
Mailing Address - Street 2:MC M520-H162
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85215-9707
Mailing Address - Country:US
Mailing Address - Phone:480-891-4142
Mailing Address - Fax:480-891-8100
Practice Address - Street 1:5000 E MCDOWELL RD
Practice Address - Street 2:MC M520-H162
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85215-9707
Practice Address - Country:US
Practice Address - Phone:480-891-4142
Practice Address - Fax:480-891-8101
Is Sole Proprietor?:No
Enumeration Date:2007-09-07
Last Update Date:2015-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN070264207Q00000X
AZAP2852363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ254850Medicaid
118158Medicare PIN
118158Medicare UPIN