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General NPI Number Information
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NPI Number | 1811713399
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Entity Type | Individual
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Provider Name | ERICA SIMMONS NP
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Gender | Female
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Dates
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Enumeration Date | 11/29/2024
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Last Update Date | 04/23/2026
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Provider Practice Location Address
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Address Line | 8913 N 19TH AVE
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City | PHOENIX
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State | AZ
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Zip | 85021-4206
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Country | US
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Telephone | 602-858-4361
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Fax | 480-906-2176
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Provider Business Mailing Address
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Address Line | 102 WOODMONT BLVD STE 600
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City | NASHVILLE
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State | TN
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Zip | 37205-5250
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Country | US
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Telephone | 888-987-1151
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 230227
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 230227
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 230227
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License Number State | AZ
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