Healthcare Provider Details

I. General information

NPI: 1467452508
Provider Name (Legal Business Name): DEANNA SINGER P.A.-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DEANNA C PRESLEY PA-C

II. Dates (important events)

Enumeration Date: 07/29/2005
Last Update Date: 03/20/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5779 E MAYO BLVD
PHOENIX AZ
85054-4502
US

IV. Provider business mailing address

5779 E MAYO BLVD
PHOENIX AZ
85054-4502
US

V. Phone/Fax

Practice location:
  • Phone: 480-301-8000
  • Fax:
Mailing address:
  • Phone: 480-301-8000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number2728
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number2728
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: