Healthcare Provider Details

I. General information

NPI: 1720030307
Provider Name (Legal Business Name): CHERIE SIMPSON RN, CNS
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 05/16/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3215 STECK AVE SUITE 200
AUSTIN TX
78757-7566
US

IV. Provider business mailing address

3215 STECK AVE SUITE 200
AUSTIN TX
78757-7566
US

V. Phone/Fax

Practice location:
  • Phone: 512-476-3556
  • Fax:
Mailing address:
  • Phone: 512-476-3556
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SP0813X
TaxonomyGeropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist
License Number700862
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: