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Individual

SHAUNA HEATHER SIMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1950 W 3RD ST, YUMA, AZ 85364-1812
(928) 276-4477
(928) 276-4481
Mailing address
1950 W 3RD ST, YUMA, AZ 85364-1812
(928) 276-4477
(928) 276-4481

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71004446A
IN
363L00000X
Nurse Practitioner
Primary
AP8633
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
332948
AZ
Enumeration date
05/17/2013
Last updated
07/09/2021
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