Individual
MRS. EDNA SIMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
6 WIERK AVE, LIBERTY, NY 12754-2117
(845) 295-4115
Mailing address
PO BOX 823, LIVINGSTON MANOR, NY 12758-0823
(845) 439-5034
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
288610-1
NY
Other
Enumeration date
10/22/2010
Last updated
10/22/2010
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