Individual
EMELYN LUANN SIMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2000 PEPPERELL PKWY, OPELIKA, AL 36801-5452
(334) 528-2499
(334) 528-2497
Mailing address
PO BOX 627, AUBURN, AL 36831-0627
(334) 528-2499
(334) 528-2497
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1067022 AND 047265
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000098869
MEDICARE PTAN
—
Enumeration date
08/10/2006
Last updated
04/24/2008
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