Individual
MRS. SHACORA SIMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3302 W LOUISE DR, PHOENIX, AZ 85027-1688
(623) 445-4511
Mailing address
8510 W MYRTLE AVE, GLENDALE, AZ 85305-6706
(602) 329-3458
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
208316
LA
Other
Enumeration date
08/09/2024
Last updated
08/09/2024
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