Healthcare Provider Details

I. General information

NPI: 1922589217
Provider Name (Legal Business Name): MORGAN LYNNE SIMCOX
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2018
Last Update Date: 09/07/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 E MARKET ST
AKRON OH
44304
US

IV. Provider business mailing address

5433 PARK VISTA CT
STOW OH
44224-1663
US

V. Phone/Fax

Practice location:
  • Phone: 330-375-3000
  • Fax:
Mailing address:
  • Phone: 440-668-9550
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number123613
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: