Individual
DR. CRESETA G SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
11417 124TH AVE NE STE 100, KIRKLAND, WA 98033-4677
(800) 640-3451
Mailing address
PO BOX 1200, PLEASANT GROVE, UT 84062-1200
(800) 640-3451
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
AP60971067
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP60971067
LICENSE
WA
Enumeration date
05/31/2019
Last updated
12/05/2024
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