Provider Demographics
NPI:1750613360
Name:SINGH, ANDRENE NICOLE (LPN)
Entity type:Individual
Prefix:MS
First Name:ANDRENE
Middle Name:NICOLE
Last Name:SINGH
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 FORDHAM HILL OVAL
Mailing Address - Street 2:5A
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10468-4854
Mailing Address - Country:US
Mailing Address - Phone:917-280-7453
Mailing Address - Fax:
Practice Address - Street 1:16937 144TH RD
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11434-5929
Practice Address - Country:US
Practice Address - Phone:718-978-7221
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-06
Last Update Date:2010-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY299056164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse