Healthcare Provider Details

I. General information

NPI: 1417487547
Provider Name (Legal Business Name): TRINA LASHELLE SINGLETERRY APRN PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/12/2017
Last Update Date: 02/24/2023
Certification Date: 02/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4270 S DECATUR BLVD STE B6
LAS VEGAS NV
89103-6802
US

IV. Provider business mailing address

6201 EVENSAIL DR
LAS VEGAS NV
89156-6967
US

V. Phone/Fax

Practice location:
  • Phone: 702-485-2100
  • Fax: 702-825-0091
Mailing address:
  • Phone: 702-466-3082
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN002531
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: