Provider Demographics
NPI:1497349484
Name:ADVANCED SINGH PSYCHIATRY DNP PLLC
Entity Type:Organization
Organization Name:ADVANCED SINGH PSYCHIATRY DNP PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:WASSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SINGH
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:206-747-9993
Mailing Address - Street 1:1313 FRYAR AVE UNIT 2103
Mailing Address - Street 2:
Mailing Address - City:SUMNER
Mailing Address - State:WA
Mailing Address - Zip Code:98390-1905
Mailing Address - Country:US
Mailing Address - Phone:253-320-0748
Mailing Address - Fax:877-682-9319
Practice Address - Street 1:1313 FRYAR AVE UNIT 2103
Practice Address - Street 2:
Practice Address - City:SUMNER
Practice Address - State:WA
Practice Address - Zip Code:98390-1905
Practice Address - Country:US
Practice Address - Phone:253-320-0748
Practice Address - Fax:877-682-9319
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-22
Last Update Date:2021-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty