ETHAN ANSON SIMMONS

BIRMINGHAM, AL
NPI1245905439
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: AL  1-169697)
Enumeration Date2021-08-10
Last Update Date2023-07-10
Business Address
Mr. ETHAN ANSON SIMMONS CRNA
800 LAKESHORE DR
BIRMINGHAM, AL 35229-0001
Phone number: 205-726-2401
Mailing Address
Mr. ETHAN ANSON SIMMONS CRNA
404 PEBBLE CREEK DR
GARDENDALE, AL 35071-2780
Phone number: 205-542-6373