Provider Demographics
NPI:1356739544
Name:SINGLETARY, SHAUNTEY NICOLE (NP)
Entity type:Individual
Prefix:MS
First Name:SHAUNTEY
Middle Name:NICOLE
Last Name:SINGLETARY
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19405 PLANTATION RD UNIT 2
Mailing Address - Street 2:
Mailing Address - City:REHOBOTH BEACH
Mailing Address - State:DE
Mailing Address - Zip Code:19971-4488
Mailing Address - Country:US
Mailing Address - Phone:302-480-1919
Mailing Address - Fax:
Practice Address - Street 1:19405 PLANTATION RD UNIT 2
Practice Address - Street 2:
Practice Address - City:REHOBOTH BEACH
Practice Address - State:DE
Practice Address - Zip Code:19971-4488
Practice Address - Country:US
Practice Address - Phone:302-480-1919
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-12-23
Last Update Date:2023-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEL1-0045326163W00000X
DELH-0010267363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No163W00000XNursing Service ProvidersRegistered Nurse