MEDICARE: MISS ALICIA A 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
1	163WC0200X	Critical Care Medicine Registered Nurse	22 567680	NY
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	40 401337	NY

General Provider Information

NPI Number	:	1730478561
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS ALICIA A SIMPSON NP

Provider Business Mailing Address
First Line	:	6695 GREEN VALLEY CIR UNIT 3093
Second Line	:
City	:	CULVER CITY
State	:	CA
Zip	:	90231-5647
Country	:	US
Telephone Number	:	310-903-8576
Fax Number	:

Provider Business Practice Location Address
First Line	:	6695 GREEN VALLEY CIR UNIT 3093
Second Line	:
City	:	CULVER CITY
State	:	CA
Zip	:	90231-5647
Country	:	US
Telephone Number	:	310-903-8576
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/01/2011
Last Update Date	:	06/23/2025

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