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NPI Code Detail

MEDICARE: MICHELLE L SIMPSON NP

MEDICARE: MICHELLE L SIMPSON NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner4704201068MI

General Provider Information

NPI Number : 1053352120
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE L SIMPSON NP
Provider Business Mailing Address
First Line : 6672 NEWARK RD
Second Line :
City : IMLAY CITY
State : MI
Zip : 48444-9657
Country : US
Telephone Number : 810-724-0591
Fax Number :
Provider Business Practice Location Address
First Line : 6672 NEWARK RD
Second Line :
City : IMLAY CITY
State : MI
Zip : 48444-9657
Country : US
Telephone Number : 810-724-0591
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2006
Last Update Date : 10/17/2022

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