Individual
MS. JANICE MARIE SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
825 S SHIELDS ST, PPRM, FORT COLLINS, CO 80521-3590
(970) 493-0281
(970) 493-0729
Mailing address
PO BOX 852, 534 5TH ST, BERTHOUD, CO 80513
(970) 532-0651
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
109098
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07109093
—
CO
Enumeration date
08/21/2006
Last updated
07/08/2007
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