MEDICARE: CRISTINA MARIA SIMPSON RN

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	163W00000X	Registered Nurse	RN337135	OH

General Provider Information

NPI Number	:	1811160450
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CRISTINA MARIA SIMPSON RN

Provider Business Mailing Address
First Line	:	8507 SCHOOLGATE DR
Second Line	:
City	:	HUBER HEIGHTS
State	:	OH
Zip	:	45424-1129
Country	:	US
Telephone Number	:	937-657-7880
Fax Number	:

Provider Business Practice Location Address
First Line	:	8507 SCHOOLGATE DR
Second Line	:
City	:	HUBER HEIGHTS
State	:	OH
Zip	:	45424-1129
Country	:	US
Telephone Number	:	937-657-7880
Fax Number	:

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

Provider Enumeration Date	:	04/03/2008
Last Update Date	:	04/03/2008

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