Healthcare Provider Details

I. General information

NPI: 1447671110
Provider Name (Legal Business Name): DEBBIE SIMPSON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/26/2013
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

473 ELKS LODGE RD
PAWHUSKA OK
74056-6542
US

IV. Provider business mailing address

473 ELKS LODGE RD
PAWHUSKA OK
74056-6542
US

V. Phone/Fax

Practice location:
  • Phone: 539-212-5499
  • Fax:
Mailing address:
  • Phone: 539-212-5499
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: