Provider Demographics
NPI:1720730690
Name:SINGH, SIMONE (ND)
Entity Type:Individual
Prefix:DR
First Name:SIMONE
Middle Name:
Last Name:SINGH
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12271 SANDY PEAK AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89138-1115
Mailing Address - Country:US
Mailing Address - Phone:312-622-1607
Mailing Address - Fax:
Practice Address - Street 1:12271 SANDY PEAK AVE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89138-1115
Practice Address - Country:US
Practice Address - Phone:312-622-1607
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-21
Last Update Date:2022-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ22-1697175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath