Healthcare Provider Details

I. General information

NPI: 1174442420
Provider Name (Legal Business Name): MS. MARINA C SINGSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

585 LEBANON ST
MELROSE MA
02176-3225
US

IV. Provider business mailing address

455 LOWELL ST
PEABODY MA
01960-2748
US

V. Phone/Fax

Practice location:
  • Phone: 781-979-6222
  • Fax:
Mailing address:
  • Phone: 978-979-3549
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License NumberLN66447
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: