Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LW0102X | Nurse Practitioner - Women's Health | 5368P | KY |
Y | 363LW0102X | Nurse Practitioner - Women's Health | R172649-3 | MN |
NPI | 1083893705 |
---|---|
Provider Name | Cristen Jayne Singer |
First Address | Plymouth, MN 55446 |
Second Address | Plymouth, MN 55446 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/10/2007 |
Last Update Date | 20/10/2020 |