Healthcare Provider Details

I. General information

NPI: 1699604165
Provider Name (Legal Business Name): ANDREW NAGY-SIMMONS PMHNP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: ANDREW SIMMONS PMHNP

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

243 E INDIANA AVE
PERRYSBURG OH
43551-2208
US

IV. Provider business mailing address

243 E INDIANA AVE
PERRYSBURG OH
43551-2208
US

V. Phone/Fax

Practice location:
  • Phone: 419-410-0220
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberRN.436376
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: