Individual
LILLIAN BOUTROS SIMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
104 W 33RD ST, KEARNEY, NE 68847-2959
(308) 865-7985
Mailing address
1602 W 37TH ST, KEARNEY, NE 68845-2768
(308) 440-7606
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
68090
NE
363L00000X
Nurse Practitioner
Primary
113189
NE
Other
Enumeration date
06/16/2020
Last updated
11/27/2023
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