Individual
CORY SHANNON SIMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
REGISTERED NURSE/ RN
Contact information
Practice address
1115 RIM VIEW DR, SHOW LOW, AZ 85901-8270
(928) 706-3556
Mailing address
1115 RIM VIEW DR, SHOW LOW, AZ 85901-8270
(928) 706-3556
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN158505
AZ
Other
Enumeration date
01/16/2023
Last updated
01/16/2023
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