Provider Demographics
NPI:1659789188
Name:SINGH, NADINE-ANN ORINTHEA (APRN)
Entity Type:Individual
Prefix:MRS
First Name:NADINE-ANN
Middle Name:ORINTHEA
Last Name:SINGH
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:NADINE-ANN
Other - Middle Name:ORINTHEA
Other - Last Name:KETTLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:10676 COLONIAL BLVD STE 20
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33913-8715
Mailing Address - Country:US
Mailing Address - Phone:239-222-1829
Mailing Address - Fax:239-294-3637
Practice Address - Street 1:10676 COLONIAL BLVD STE 20
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33913-8715
Practice Address - Country:US
Practice Address - Phone:239-222-1829
Practice Address - Fax:239-294-3637
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-29
Last Update Date:2023-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL6905999311ZA0620X
FLARNP9276797363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL142644300Medicaid