Provider Demographics
NPI:1710337795
Name:SINGREY, BETHANN
Entity Type:Individual
Prefix:
First Name:BETHANN
Middle Name:
Last Name:SINGREY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16134 DIVELBISS RD
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:OH
Mailing Address - Zip Code:43050-8737
Mailing Address - Country:US
Mailing Address - Phone:740-399-8025
Mailing Address - Fax:740-397-1582
Practice Address - Street 1:16134 DIVELBISS RD
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:OH
Practice Address - Zip Code:43050-8737
Practice Address - Country:US
Practice Address - Phone:740-399-8025
Practice Address - Fax:740-397-1582
Is Sole Proprietor?:No
Enumeration Date:2016-06-21
Last Update Date:2016-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN109630164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse