Individual
SIQIN LUO SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5770 S 1500 W, SALT LAKE CITY, UT 84123-5216
(801) 265-3412
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 369-8989
(801) 704-9741
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
8698377-4405
UT
Other
Enumeration date
05/07/2019
Last updated
10/30/2025
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