Provider Demographics
NPI:1487121521
Name:SINGH, LIZA NICOLE (MSN, RN, AGACNP-BC)
Entity type:Individual
Prefix:
First Name:LIZA
Middle Name:NICOLE
Last Name:SINGH
Suffix:
Gender:F
Credentials:MSN, RN, AGACNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2702 DODSON ST
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75042-4019
Mailing Address - Country:US
Mailing Address - Phone:361-815-7978
Mailing Address - Fax:469-814-3539
Practice Address - Street 1:1100 ALLIED DR STE 5-232A
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-5348
Practice Address - Country:US
Practice Address - Phone:469-814-3336
Practice Address - Fax:469-814-3539
Is Sole Proprietor?:No
Enumeration Date:2018-10-26
Last Update Date:2024-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP138861363LA2100X
TX755775163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No163W00000XNursing Service ProvidersRegistered Nurse