Individual
ASSETOU SIMPARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
51 N 39TH ST, PHILADELPHIA, PA 19104-2640
(215) 662-8000
Mailing address
PO BOX 746722, ATLANTA, GA 30374-6722
(773) 352-1515
(312) 929-0373
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP019963
PA
Other
Enumeration date
09/25/2019
Last updated
08/23/2024
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