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General NPI Number Information
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NPI Number | 1033428941
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Entity Type | Individual
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Provider Name | CAREY B SIMON CRNA
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Gender | Male
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Dates
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Enumeration Date | 09/28/2010
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Last Update Date | 03/23/2026
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Provider Practice Location Address
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Address Line | 1501 E 3RD ST
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City | DELTA
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State | CO
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Zip | 81416-2815
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Country | US
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Telephone | 970-874-2255
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Fax |
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Provider Business Mailing Address
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Address Line | 13950 LARKSPUR DR
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City | MONTROSE
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State | CO
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Zip | 81403-9387
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Country | US
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Telephone | 720-939-5138
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | APN.0991673-CRNA
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License Number State | CO
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