Provider Demographics
NPI:1831174408
Name:BATISTE-SINGLETON, MARY ELAINE (RN)
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:ELAINE
Last Name:BATISTE-SINGLETON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1334 N LANSING AVE
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74106-5907
Mailing Address - Country:US
Mailing Address - Phone:918-587-2171
Mailing Address - Fax:918-295-6155
Practice Address - Street 1:1334 N LANSING AVE
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74106-5907
Practice Address - Country:US
Practice Address - Phone:918-587-2171
Practice Address - Fax:918-295-6155
Is Sole Proprietor?:No
Enumeration Date:2005-12-07
Last Update Date:2007-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKR0083768363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK37-1834OtherMEDICARE
OK37-1803OtherMEDICARE
OK100768880IMedicaid
OK200070270AMedicaid
OK37-1832OtherMEDICARE
OK100768880IMedicaid
OK37-1803OtherMEDICARE