Individual
ELLEN TRACY SIMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS, IBCLC
Contact information
Practice address
112 S WOODLYNNE AVE, TAMPA, FL 33609-3013
(813) 839-2737
Mailing address
112 S WOODLYNNE AVE, TAMPA, FL 33609-3013
(813) 839-2737
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
05/27/2010
Last updated
07/08/2011
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