Individual
MICAELA AIDA SIMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1492 S MILL AVE STE 212, TEMPE, AZ 85281-5664
(480) 410-4128
(480) 410-4130
Mailing address
7000 N 16TH ST STE 120-228, PHOENIX, AZ 85020-5512
(480) 332-8446
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN113725
AZ
207QA0505X
Adult Medicine Physician
Primary
AP10370
AZ
Other
Enumeration date
10/25/2016
Last updated
04/08/2024
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