Individual
MRS. PHILOMINA SIMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8605 BELGROVE GARDENS LN, GAINESVILLE, VA 20155-5879
(703) 754-0157
Mailing address
8605 BELGROVE GARDENS LN, GAINESVILLE, VA 20155-5879
(703) 754-0157
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001157891
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MEDICAID
—
VA
Enumeration date
02/04/2013
Last updated
02/04/2013
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