Provider Demographics
NPI:1831659408
Name:SINGH, IRYNA RIKA (FNP)
Entity Type:Individual
Prefix:
First Name:IRYNA
Middle Name:RIKA
Last Name:SINGH
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:IRYNA
Other - Middle Name:ANATOLYEVNA
Other - Last Name:KVACHYEVA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:230 S MAIN ST STE 100
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92868-3851
Mailing Address - Country:US
Mailing Address - Phone:714-541-0101
Mailing Address - Fax:
Practice Address - Street 1:230 S MAIN ST STE 100
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-3851
Practice Address - Country:US
Practice Address - Phone:714-571-5900
Practice Address - Fax:714-541-0450
Is Sole Proprietor?:No
Enumeration Date:2019-03-21
Last Update Date:2021-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95011397363LF0000X
CANP95011397363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily