MEDICARE: CHRISTOPHER SINGER FNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	1991194405	UT

General Provider Information

NPI Number	:	1073517991
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER SINGER FNP

Provider Business Mailing Address
First Line	:	MONTEZUMA CREEK CHC
Second Line	:	PO BOX 130
City	:	MONTEZUMA CREEK
State	:	UT
Zip	:	84534
Country	:	US
Telephone Number	:	435-651-3291
Fax Number	:	435-651-3376

Provider Business Practice Location Address
First Line	:	6269 SOUTH MADRID STREET
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84121
Country	:	US
Telephone Number	:	435-651-3291
Fax Number	:	435-651-3376

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2005
Last Update Date	:	07/08/2007

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