Individual
MRS. AMANDA DIMASI SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
101 SIVLEY RD SW, HUNTSVILLE, AL 35801-4421
(256) 533-3388
Mailing address
209 SILVER BREEZE CT, HARVEST, AL 35749-8393
(256) 337-5512
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1-149778
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-149778
RN/CRNP LICENCE
AL
Enumeration date
05/08/2018
Last updated
05/08/2018
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