Provider Demographics
NPI:1922463009
Name:SINGLETON, MARY BETH (CNM)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:BETH
Last Name:SINGLETON
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:MARY
Other - Middle Name:BETH
Other - Last Name:DUNN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNM
Mailing Address - Street 1:1080 NEAL ST STE 200
Mailing Address - Street 2:
Mailing Address - City:COOKEVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38501-0944
Mailing Address - Country:US
Mailing Address - Phone:931-520-1529
Mailing Address - Fax:931-372-2751
Practice Address - Street 1:210 SUNNYVIEW LN STE 101
Practice Address - Street 2:
Practice Address - City:KALISPELL
Practice Address - State:MT
Practice Address - Zip Code:59901-3128
Practice Address - Country:US
Practice Address - Phone:406-751-8009
Practice Address - Fax:406-257-6463
Is Sole Proprietor?:No
Enumeration Date:2015-12-16
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN20768367A00000X
MTNUR-APRN-LIC-158009367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife