Individual
AMY L SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1640 E SUMNER ST, HARTFORD, WI 53027-2684
(262) 670-4000
Mailing address
N171W20510 NORTHVIEW DR, JACKSON, WI 53037-9442
(262) 677-2108
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
967
WI
Other
Enumeration date
11/29/2006
Last updated
07/18/2008
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