Basic Information
Provider Information
NPI: 1770827974
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SINGER
FirstName: DEVORA
MiddleName:  
NamePrefix: MRS.
NameSuffix:  
Credential: CRNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: BILGORAY
OtherFirstName: DEVORA
OtherMiddleName:  
OtherNamePrefix: MRS.
OtherNameSuffix:  
OtherCredential: CRNP-F
OtherLastNameType: 1
Mailing Information
Address1: 25 CROSSROADS DR STE 360
Address2:  
City: OWINGS MILLS
State: MD
PostalCode: 211175421
CountryCode: US
TelephoneNumber: 4105811600
FaxNumber: 4434718540
Practice Location
Address1: 21 CROSSROADS DR STE 200
Address2:  
City: OWINGS MILLS
State: MD
PostalCode: 211175483
CountryCode: US
TelephoneNumber: 4105818140
FaxNumber:  
Other Information
ProviderEnumerationDate: 11/12/2012
LastUpdateDate: 09/09/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/25/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163WH0200X260789683NYN Nursing Service ProvidersRegistered NurseHome Health
363LF0000XR213831MDY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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