Provider Demographics
NPI:1558029017
Name:SINGLEY, KRISTINA MARIE (PMHNP)
Entity Type:Individual
Prefix:
First Name:KRISTINA
Middle Name:MARIE
Last Name:SINGLEY
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24726 US-6
Mailing Address - Street 2:
Mailing Address - City:TOWANDA
Mailing Address - State:PA
Mailing Address - Zip Code:18848-1876
Mailing Address - Country:US
Mailing Address - Phone:570-265-0100
Mailing Address - Fax:570-268-2756
Practice Address - Street 1:24726 US-6
Practice Address - Street 2:
Practice Address - City:TOWANDA
Practice Address - State:PA
Practice Address - Zip Code:18848-1884
Practice Address - Country:US
Practice Address - Phone:570-265-0100
Practice Address - Fax:570-268-2756
Is Sole Proprietor?:No
Enumeration Date:2021-12-02
Last Update Date:2022-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP024942363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health