Provider Demographics
NPI:1386943454
Name:SINGH, AMANDA MELLA (CRNP, RN, BSN, BS)
Entity type:Individual
Prefix:MRS
First Name:AMANDA
Middle Name:MELLA
Last Name:SINGH
Suffix:
Gender:F
Credentials:CRNP, RN, BSN, BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5009 HONEYGO CENTER DR
Mailing Address - Street 2:SUITE 225
Mailing Address - City:PERRY HALL
Mailing Address - State:MD
Mailing Address - Zip Code:21128-9828
Mailing Address - Country:US
Mailing Address - Phone:240-481-0093
Mailing Address - Fax:
Practice Address - Street 1:5009 HONEYGO CENTER DR
Practice Address - Street 2:SUITE 225
Practice Address - City:PERRY HALL
Practice Address - State:MD
Practice Address - Zip Code:21128-9828
Practice Address - Country:US
Practice Address - Phone:240-481-0093
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-15
Last Update Date:2023-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR187356363LP0200X
COC-APN.0000653-C-NP363LP0808X
COC-RXN.0000244-C-NP363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health