Provider Demographics
NPI:1295161594
Name:SINGLETON, CANDIDA DENISE
Entity type:Individual
Prefix:
First Name:CANDIDA
Middle Name:DENISE
Last Name:SINGLETON
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 1:524 NORMANDY ST
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:VA
Mailing Address - Zip Code:23701-4312
Mailing Address - Country:US
Mailing Address - Phone:757-589-2673
Mailing Address - Fax:
Practice Address - Street 1:5215 COLLEY AVE
Practice Address - Street 2:107
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23701
Practice Address - Country:US
Practice Address - Phone:877-366-1133
Practice Address - Fax:757-257-0309
Is Sole Proprietor?:No
Enumeration Date:2013-09-18
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
246RM2200X
DC20-0190Y01246RP1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy
No246RM2200XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyMedical Laboratory