Individual
DANIEL ANDREW SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4420 LAKE BOONE TRL, RALEIGH, NC 27607-7505
(919) 784-3034
Mailing address
PO BOX 18139, RALEIGH, NC 27619-8139
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
193309
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
193309
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8053380
—
NC
Enumeration date
08/20/2008
Last updated
03/25/2009
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