# KATHRYN AMANDA SIMMONS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1588227177
- **Gender:** F
- **Credential:** MSN, RN, ACCNS-AG

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 364SC0200X | Critical Care Medicine Clinical Nurse Specialist | 0015001058 | VA | Yes |

## Other

- **Enumeration date:** 04/18/2019
- **Last updated:** 04/18/2019