Healthcare Provider Details

I. General information

NPI: 1699601542
Provider Name (Legal Business Name): SIMONNE ZEPHIR AGACNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/19/2026
Last Update Date: 06/19/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2977 GOODLETTE-FRANK RD N STE 10
NAPLES FL
34103-4613
US

IV. Provider business mailing address

919 BRUNELLO DR
SANTA ROSA CA
95407-6555
US

V. Phone/Fax

Practice location:
  • Phone: 707-772-9187
  • Fax:
Mailing address:
  • Phone: 707-772-9187
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number2000723800
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: