Individual
NIMMY J SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-6834
(206) 520-5000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 520-5700
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD61312915
WA
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
MD61312915
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821593948
—
WA
Enumeration date
03/29/2018
Last updated
07/20/2022
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