Healthcare Provider Details

I. General information

NPI: 1245152388
Provider Name (Legal Business Name): DESSIRA SINGER LPN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

418 COLEGATE DR
MARIETTA OH
45750-9549
US

IV. Provider business mailing address

10625 STATE ROUTE 329
STEWART OH
45778-9513
US

V. Phone/Fax

Practice location:
  • Phone: 740-856-0136
  • Fax:
Mailing address:
  • Phone: 740-856-0136
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number193439
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: