Individual
MR. ETHAN ANSON SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
800 LAKESHORE DR, BIRMINGHAM, AL 35229-0001
(205) 726-2401
Mailing address
404 PEBBLE CREEK DR, GARDENDALE, AL 35071-2780
(205) 542-6373
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1-169697
AL
Other
Enumeration date
08/10/2021
Last updated
07/23/2025
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