Individual
NICHOLE LYNN SIMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2700 NW STEWART PKWY, ROSEBURG, OR 97471-1281
(541) 673-0611
Mailing address
465 WAGONTIRE DR, MYRTLE CREEK, OR 97457-9757
(541) 680-3386
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
201041992RN
OR
Other
Enumeration date
08/03/2012
Last updated
08/03/2012
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