Provider Demographics
NPI:1558029017
Name:SINGLEY, KRISTINA MARIE (PMHNP)
Entity type:Individual
Prefix:
First Name:KRISTINA
Middle Name:MARIE
Last Name:SINGLEY
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1901 VESTAL PKWY E STE 2W
Mailing Address - Street 2:
Mailing Address - City:VESTAL
Mailing Address - State:NY
Mailing Address - Zip Code:13850-1966
Mailing Address - Country:US
Mailing Address - Phone:607-341-4950
Mailing Address - Fax:607-341-4933
Practice Address - Street 1:1901 VESTAL PKWY E STE 2W
Practice Address - Street 2:
Practice Address - City:VESTAL
Practice Address - State:NY
Practice Address - Zip Code:13850-1966
Practice Address - Country:US
Practice Address - Phone:607-341-4950
Practice Address - Fax:607-341-4933
Is Sole Proprietor?:No
Enumeration Date:2021-12-02
Last Update Date:2024-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF403841-01363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health