Doctor Name: | LAURA SIMPSON |
NPI Number: | 1134597719 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 0024172754 |
Business Practice Address: | 730 Mcculloch St Glasgow, VA - 245552710 |
Business Phone Number: | 5402581700 |
Business Fax Number: | |
Mailing Address: | 730 Mcculloch St, GLASGOW |
State: | VA |
Postal Code: | 245552710 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 09/12/2015 |
NPI Last Update Date: | 09/12/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 0024172754 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |