Healthcare Provider Details

I. General information

NPI: 1780929976
Provider Name (Legal Business Name): CYNTHIA MARIE GLOVER-SINGLETON RN, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/29/2012
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9874 FRANKFURT DR
WALDORF MD
20603-5334
US

IV. Provider business mailing address

9874 FRANKFURT DR
WALDORF MD
20603-5334
US

V. Phone/Fax

Practice location:
  • Phone: 240-270-1730
  • Fax:
Mailing address:
  • Phone: 240-270-1730
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SP0808X
TaxonomyPsychiatric/Mental Health Clinical Nurse Specialist
License NumberR202535
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN202535
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: