Provider Demographics
NPI:1649399759
Name:SINGER, MARY ELIZABETH (MS,APRN-BC,AOCN)
Entity Type:Individual
Prefix:MS
First Name:MARY
Middle Name:ELIZABETH
Last Name:SINGER
Suffix:
Gender:F
Credentials:MS,APRN-BC,AOCN
Other - Prefix:
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Mailing Address - Street 1:21 BARNESDALE RD
Mailing Address - Street 2:
Mailing Address - City:NATICK
Mailing Address - State:MA
Mailing Address - Zip Code:01760-3331
Mailing Address - Country:US
Mailing Address - Phone:508-655-7438
Mailing Address - Fax:617-636-2342
Practice Address - Street 1:55 FRUIT ST
Practice Address - Street 2:YAWKEY 9A
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-2621
Practice Address - Country:US
Practice Address - Phone:617-643-4271
Practice Address - Fax:617-724-1079
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA142885363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAP44729Medicare UPIN
MASI NP 3609Medicare ID - Type Unspecified