Individual
ANDREA M. SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 PEELER ST, KALAMAZOO, MI 49008-2300
(269) 345-8618
(269) 345-1508
Mailing address
900 PEELER ST, KALAMAZOO, MI 49008-2300
(269) 345-8618
(269) 345-1508
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704213715
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704213715
4704213715 - MICHIGAN RN LICENSE
MI
Enumeration date
08/29/2011
Last updated
08/29/2011
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