Individual
ANDREA SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, FNP
Contact information
Practice address
3525 ENSIGN RD NE, STE B, OLYMPIA, WA 98506-5065
(360) 507-9100
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP60719277
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306248927
—
WA
Enumeration date
09/26/2014
Last updated
04/19/2017
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