Healthcare Provider Details

I. General information

NPI: 1053780270
Provider Name (Legal Business Name): YOGITA SINGH D.N.P
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/17/2015
Last Update Date: 10/01/2024
Certification Date: 10/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1820 WELLNESS LN
TRINITY FL
34655-5357
US

IV. Provider business mailing address

3410 TEESIDE DR
TRINITY FL
34655-1910
US

V. Phone/Fax

Practice location:
  • Phone: 347-422-6561
  • Fax:
Mailing address:
  • Phone: 347-422-6561
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11004375
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number701805
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: