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Individual

MRS. ANGELA CHRISTINE SIMMONS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
7 SHACKLEFORD WEST BLVD, LITTLE ROCK, AR 72211-3714
(501) 664-5860
(501) 664-0889
Mailing address
7 SHACKLEFORD WEST BLVD, LITTLE ROCK, AR 72211-3714
(501) 664-5860
(501) 664-0889

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A03003
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
174704758
AR
01
5A835S
MEDICARE
AR
Enumeration date
05/01/2007
Last updated
06/17/2013
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