Provider Demographics
NPI:1437593639
Name:SINGLETARY, WENDY GLENDA (MSN, ARNP, PNP-BC)
Entity Type:Individual
Prefix:
First Name:WENDY
Middle Name:GLENDA
Last Name:SINGLETARY
Suffix:
Gender:F
Credentials:MSN, ARNP, PNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1681 S KIRKMAN RD APT 339
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32811-2562
Mailing Address - Country:US
Mailing Address - Phone:561-843-6491
Mailing Address - Fax:
Practice Address - Street 1:5308 S JOHN YOUNG PKWY STE 200
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32839-7362
Practice Address - Country:US
Practice Address - Phone:407-240-9766
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-18
Last Update Date:2013-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9281454363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics