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
363LF0000X
Family Nurse Practitioner
Primary
AP10370
AZ
Other
Enumeration date
10/25/2016
Last updated
07/03/2026
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