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General NPI Number Information
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NPI Number | 1558029017
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Entity Type | Individual
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Provider Name | KRISTINA MARIE SINGLEY PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 12/02/2021
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Last Update Date | 09/04/2025
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Provider Practice Location Address
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Address Line | 216 S MAIN ST
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City | ATHENS
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State | PA
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Zip | 18810-1632
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Country | US
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Telephone | 570-731-0497
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Fax | 570-796-0059
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Provider Business Mailing Address
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Address Line | 216 S MAIN ST
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City | ATHENS
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State | PA
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Zip | 18810-1632
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Country | US
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Telephone | 570-731-0497
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Fax | 570-796-0059
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | SP024942
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | F403841-01
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License Number State | NY
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