Healthcare Provider Details

I. General information

NPI: 1952875932
Provider Name (Legal Business Name): AIMEE LIN SIMINGTON NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/14/2019
Last Update Date: 01/26/2021
Certification Date: 01/26/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

308 W HIGHWAY 199
SPRINGTOWN TX
76082-2631
US

IV. Provider business mailing address

PO BOX 1039
SPRINGTOWN TX
76082-1039
US

V. Phone/Fax

Practice location:
  • Phone: 817-523-5402
  • Fax: 817-523-5422
Mailing address:
  • Phone: 817-523-5402
  • Fax: 817-523-5422

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP138806
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: