Provider Demographics
NPI:1750355426
Name:SINGLETARY, ANDREA M (RN)
Entity type:Individual
Prefix:MRS
First Name:ANDREA
Middle Name:M
Last Name:SINGLETARY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3537 PONS DR
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23456-6927
Mailing Address - Country:US
Mailing Address - Phone:757-689-2822
Mailing Address - Fax:757-689-2823
Practice Address - Street 1:620 JOHN PAUL JONES CIR
Practice Address - Street 2:BLDG 1, C214
Practice Address - City:PORTSMOUTH
Practice Address - State:VA
Practice Address - Zip Code:23708-2111
Practice Address - Country:US
Practice Address - Phone:757-953-0376
Practice Address - Fax:757-953-7478
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001098446163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse