Individual
NICHOLAS SIMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8857 LADUE ROAD, ST. LOUIS, MO 63124
(314) 576-8189
Mailing address
8857 LADUE ROAD, ST. LOUIS, MO 63124
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2019034298
MO
Other
Enumeration date
09/25/2019
Last updated
09/25/2019
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