Individual
SCOTT C SIMANDL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APNP
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-8710
(414) 955-0115
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-8710
(414) 955-0115
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
10382
WI
363L00000X
Nurse Practitioner
Primary
10382-33
WI
363LA2100X
Acute Care Nurse Practitioner
10382-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100108127
—
WI
05
—
1558977322
—
WI
Enumeration date
09/17/2020
Last updated
05/08/2026
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