Healthcare Provider Details

I. General information

NPI: 1467022673
Provider Name (Legal Business Name): SIMONE MORSE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/29/2021
Last Update Date: 06/29/2021
Certification Date: 06/29/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9609 KENT PL UNIT 303
AURORA CO
80014-7450
US

IV. Provider business mailing address

9609 KENT PL UNIT 303
AURORA CO
80014-7450
US

V. Phone/Fax

Practice location:
  • Phone: 646-541-3871
  • Fax:
Mailing address:
  • Phone: 646-541-3871
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: