Individual
AMANDA L SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1818 AMHERST ST, WINCHESTER, VA 22601-2869
(540) 450-0072
Mailing address
1818 AMHERST ST, WINCHESTER, VA 22601-2869
(540) 450-0072
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024168056
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114171469
—
VA
05
—
3810013805
—
WV
01
—
P00676827
MEDICARE RR
VA
Enumeration date
11/13/2008
Last updated
03/10/2021
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