Healthcare Provider Details

I. General information

NPI: 1477658276
Provider Name (Legal Business Name): MONICA C SIMPSON APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2006
Last Update Date: 11/02/2020
Certification Date: 11/02/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3060 MELALEUCA LN
PALM SPRINGS FL
33461-5174
US

IV. Provider business mailing address

2014 SW BURMAN LN
PORT SAINT LUCIE FL
34984-4309
US

V. Phone/Fax

Practice location:
  • Phone: 561-357-7200
  • Fax:
Mailing address:
  • Phone: 954-557-2233
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberARNP 9174242
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: