Individual
MARISA ANN SINGLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
101-105 BACON ST, PAWTUCKET, RI 02860-5542
(401) 724-8400
(401) 722-5280
Mailing address
249 ROOSEVELT AVE, SUITE 205, PAWTUCKET, RI 02860-2134
(401) 724-8400
(401) 722-5280
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
NPP37781
RI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
NPP37781
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12588497
CIGNA
RI
01
—
1952618720
BLUE CROSS BLUE SHIELD RI
RI
05
—
1952618720
—
RI
01
—
549744
MHN/TRICARE
RI
01
—
762493
VALUEOPTIONS
RI
05
—
GH57134
—
RI
Enumeration date
09/01/2010
Last updated
08/11/2016
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