Individual
VALERIE SIMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
245 ALVORD PARK RD, TORRINGTON, CT 06790-3493
(860) 482-8539
(860) 482-0258
Mailing address
245 ALVORD PARK RD, TORRINGTON, CT 06790-3493
(860) 482-8539
(860) 482-0258
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
002937
CT
363AM0700X
Medical Physician Assistant
002937
CT
363AS0400X
Surgical Physician Assistant
002937
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D400181865
MEDICARE NGS
CT
Enumeration date
10/01/2013
Last updated
04/07/2016
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