Organization
A SIMON BIRTH ASSISTING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA SIMON CNM, WHNP-BC (CNM, WHNP-BC)
(602) 818-7193
Entity
Organization
Contact information
Practice address
14502 W MEEKER BLVD, SUN CITY WEST, AZ 85375-5282
(602) 818-7193
Mailing address
8045 W TONOPAH DR, PEORIA, AZ 85382-5431
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
AP7987
AZ
367A00000X
Advanced Practice Midwife
AP7653
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
074059
—
AZ
Enumeration date
09/01/2017
Last updated
09/01/2017
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