Provider Demographics
NPI:1417143264
Name:SINGH, ANITA S (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:ANITA
Middle Name:S
Last Name:SINGH
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1900 NE 8TH CT
Mailing Address - Street 2:SUITE 108
Mailing Address - City:FT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33304-3061
Mailing Address - Country:US
Mailing Address - Phone:954-683-1700
Mailing Address - Fax:
Practice Address - Street 1:1900 NE 8TH CT
Practice Address - Street 2:SUITE 108
Practice Address - City:FT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33304-3061
Practice Address - Country:US
Practice Address - Phone:954-683-1700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-14
Last Update Date:2014-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP2633262363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLARNP 2633262OtherLICENSE