Provider Demographics
NPI:1558592279
Name:SINGH, CHANICE (LVN)
Entity Type:Individual
Prefix:MISS
First Name:CHANICE
Middle Name:
Last Name:SINGH
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 MARCIA WAY APT 42
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95747-7704
Mailing Address - Country:US
Mailing Address - Phone:916-749-4390
Mailing Address - Fax:
Practice Address - Street 1:5 MARCIA WAY APT 42
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95747-7704
Practice Address - Country:US
Practice Address - Phone:916-749-4390
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-29
Last Update Date:2009-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAVN60011164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse