Individual
BETSY J SIMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1115 RONALD REAGAN PKWY STE 329, AVON, IN 46123-6914
(317) 944-9800
(317) 278-6523
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
(317) 944-9800
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
3639
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
223599
—
AZ
01
—
P00624818
RAILROAD MEDICARE
AZ
Enumeration date
06/05/2007
Last updated
11/16/2020
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