Healthcare Provider Details

I. General information

NPI: 1467888503
Provider Name (Legal Business Name): BRITTANY SIMPLICIO CNM, MSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/20/2013
Last Update Date: 03/21/2022
Certification Date: 03/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UNIVERSITY OF NEW MEXICO HOSPITAL MSC10 5580
ALBUQUERQUE NM
87131-0001
US

IV. Provider business mailing address

8808 GLOBE ST NW
ALBUQUERQUE NM
87114-2600
US

V. Phone/Fax

Practice location:
  • Phone: 505-272-2255
  • Fax:
Mailing address:
  • Phone: 55-818-7525
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number656
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: