NPI | 1447640578 |
---|---|
Former Name | ANDREA SIMMONS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NV APRN002402) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV APRN002402) |
Enumeration Date | 2015-01-27 |
Last Update Date | 2023-08-21 |