Healthcare Provider Details

I. General information

NPI: 1205021763
Provider Name (Legal Business Name): ERLINDA M SINGARAJAH ANP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/07/2007
Last Update Date: 06/15/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5000 E MCDOWELL RD MC M520-H162
MESA AZ
85215-9707
US

IV. Provider business mailing address

5000 E MCDOWELL RD MC M520-H162
MESA AZ
85215-9707
US

V. Phone/Fax

Practice location:
  • Phone: 480-891-4142
  • Fax: 480-891-8101
Mailing address:
  • Phone: 480-891-4142
  • Fax: 480-891-8100

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAP2852
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberRN070264
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: