Individual
MS. AMANDA GAIL SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
516 E NIZHONI BLVD, GALLUP, NM 87301-5748
(505) 722-1000
Mailing address
13450 STATE ROUTE 114, BUENA VISTA, TN 38318-2826
(559) 310-4144
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
160971
TN
Other
Enumeration date
11/05/2025
Last updated
11/05/2025
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