Provider Demographics
NPI:1720394216
Name:SINGLETON, CHRISTIE DIANNE (LPN, BA, MED)
Entity Type:Individual
Prefix:MS
First Name:CHRISTIE
Middle Name:DIANNE
Last Name:SINGLETON
Suffix:
Gender:F
Credentials:LPN, BA, MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:RR 1 BOX 131C
Mailing Address - Street 2:
Mailing Address - City:EUFAULA
Mailing Address - State:OK
Mailing Address - Zip Code:74432-9223
Mailing Address - Country:US
Mailing Address - Phone:918-822-7923
Mailing Address - Fax:
Practice Address - Street 1:RR 1 BOX 131C
Practice Address - Street 2:
Practice Address - City:EUFAULA
Practice Address - State:OK
Practice Address - Zip Code:74432-9223
Practice Address - Country:US
Practice Address - Phone:918-822-7923
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-23
Last Update Date:2010-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK101Y00000X
OKB9048745164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No164W00000XNursing Service ProvidersLicensed Practical Nurse